Individual
MRS. BRIDGET TULLY HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
809 BROADWAY ST, KING CITY, CA 93930-3303
(831) 385-6835
Mailing address
665 DOLORES LN, TEMPLETON, CA 93465-4020
(805) 674-2144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10857
CA
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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