Individual
BERNADETTE MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
150 FOUNTAINS WAY STE 4, ST JOHNS, FL 32259-1171
(904) 825-2660
Mailing address
228 SPARROW BRANCH CIR, ST JOHNS, FL 32259-5501
(561) 629-3325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17352
MA
225100000X
Physical Therapist
Primary
PT24294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033239
BOSTON MEDICAL CENTER HEALTHNET
MA
05
—
0704393
—
MA
01
—
487176
TUFTS
MA
01
—
524008
FALLON
—
01
—
Y68539
BLUECROSS BLUESHIELD
MA
Enumeration date
03/10/2006
Last updated
12/22/2023
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