Individual
BRIDGETTE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
299 RAFT AVE, SAYVILLE, NY 11782-1542
(631) 291-6531
Mailing address
82 GAINSBOROUGH RD, HOLBROOK, NY 11741-2871
(631) 291-6531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028167
NY
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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