Individual
SHANNA BRIDGES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TABER ST, NEW BEDFORD, MA 02740-2235
(508) 997-0791
Mailing address
20325 E 33RD PL S, BROKEN ARROW, OK 74014-5153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7227
MA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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