Individual
MRS. BRIDGET M. BOUYSSOUNOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
710 LAWRENCE EXPY, DEPT. #174, SANTA CLARA, CA 95051-5173
(408) 851-1466
Mailing address
710 LAWRENCE EXPY, DEPT. #174, SANTA CLARA, CA 95051-5173
(408) 851-1466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16306
CA
Other
Enumeration date
01/24/2007
Last updated
02/11/2022
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