Individual
MS. PAMELA R. BRIDGEFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1 PARK WEST CIR, SUITE 108, MIDLOTHIAN, VA 23114-5551
(804) 379-9265
(804) 482-2647
Mailing address
5513 LIMESTONE DR, RICHMOND, VA 23224-2827
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2305002246
VA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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