Individual
BRIDGET C BOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2719 CENTER AVE, SHEBOYGAN, WI 53081-4237
(920) 207-4224
Mailing address
2719 CENTER AVE, SHEBOYGAN, WI 53081-4237
(920) 207-4224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
902-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40461800
—
WI
Enumeration date
04/02/2008
Last updated
10/27/2018
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