Individual
BRIDGET POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
E8811 COUNTY ROAD HH, NEW LONDON, WI 54961-8763
(920) 538-1548
Mailing address
E8811 COUNTY ROAD HH, NEW LONDON, WI 54961-8763
(920) 538-1548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11883-24
WI
225200000X
Physical Therapy Assistant
674-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40398800
—
WI
Enumeration date
03/05/2007
Last updated
07/31/2020
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