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Individual
KRYSTAL BRIDGEWATER
Active
Individual
KRYSTAL BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1241350
TX
225100000X
Physical Therapist
9976
CT
225100000X
Physical Therapist
Primary
PT29086
FL
Other
Enumeration date
03/31/2014
Last updated
03/17/2018
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