Provider Demographics
NPI:1497800320
Name:SCHWERI - ASBURY, BRIDGET LEAH (PTA)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:LEAH
Last Name:SCHWERI - ASBURY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 MESCALERO CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1640
Mailing Address - Country:US
Mailing Address - Phone:505-250-5787
Mailing Address - Fax:
Practice Address - Street 1:3614 MESCALERO CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1640
Practice Address - Country:US
Practice Address - Phone:505-250-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0462225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant