Individual
GRANT BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 WILSON ST, PRESQUE ISLE, ME 04769-2154
(207) 762-0024
Mailing address
1500 E FAIRVIEW AVE, MONTGOMERY, AL 36106-2114
(207) 762-0024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
06/30/2023
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