Provider Demographics
NPI:1922468867
Name:BRIDGE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:BRIDGE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-581-1166
Mailing Address - Street 1:1010 E MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3894
Mailing Address - Country:US
Mailing Address - Phone:406-581-1166
Mailing Address - Fax:406-559-3388
Practice Address - Street 1:1010 E MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3894
Practice Address - Country:US
Practice Address - Phone:406-581-1166
Practice Address - Fax:406-559-3388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty