Individual
BRIDGETT LYNN WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
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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