Individual
MATT BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3872 JEWELL ST, H312, SAN DIEGO, CA 92109-6421
(858) 353-1769
Mailing address
3872 JEWELL ST, H312, SAN DIEGO, CA 92109-6421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000002673
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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