Individual
BRIDGET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4030 WELLMAN WAY, MILLER CENTER, WINSTON-SALEM, NC 27109
(336) 758-4188
Mailing address
126 BROOKSTOWN AVE APT 150, WINSTON SALEM, NC 27101-5377
(615) 491-3014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4697
NC
Other
Enumeration date
06/08/2017
Last updated
10/11/2024
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