Doctor Name: | BRIDGET EPPERSON |
NPI Number: | 1033462783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, OCS |
License Number: | 005058 |
Business Practice Address: | 928 Valley View Dr Suite 7 Council Bluffs, IA - 515035275 |
Business Phone Number: | 7122561800 |
Business Fax Number: | |
Mailing Address: | 928 Valley View Dr, Suite 7 COUNCIL BLUFFS |
State: | IA |
Postal Code: | 515035275 |
Phone Number: | 5154509540 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 005058 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |