Individual
BRIDGET LEE PODVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 W GRAND RIVER AVE STE 201, BRIGHTON, MI 48116-1659
(810) 588-4133
(810) 588-4124
Mailing address
609 CURZON CT APT 101, HOWELL, MI 48843-4162
(810) 623-6806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006012
MI
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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