Individual
BRIDGETT LYNN WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5078
Mailing address
312 SAINT ST, DUNN, NC 28334-8429
(910) 984-7189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251500000X
—
NC
Enumeration date
05/09/2013
Last updated
05/09/2013
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