Provider Demographics
NPI:1437729357
Name:BRIDENHAGEN, KERRI LYNNE REID (OTR/L, CHT)
Entity type:Individual
Prefix:DR
First Name:KERRI
Middle Name:LYNNE REID
Last Name:BRIDENHAGEN
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:LYNNE
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CHT
Mailing Address - Street 1:25 2ND ST APT 402
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-4643
Mailing Address - Country:US
Mailing Address - Phone:404-345-1839
Mailing Address - Fax:
Practice Address - Street 1:159 WELLS AVE STE 500
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3301
Practice Address - Country:US
Practice Address - Phone:617-965-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14028225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist