Provider Demographics
NPI:1770369522
Name:BRIDENTHAL, MIKAELA JOYCE BELL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MIKAELA
Middle Name:JOYCE BELL
Last Name:BRIDENTHAL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 E MARKET ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1520
Mailing Address - Country:US
Mailing Address - Phone:330-375-7382
Mailing Address - Fax:
Practice Address - Street 1:477 E MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1520
Practice Address - Country:US
Practice Address - Phone:330-375-7382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020122225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist