Individual
DIANE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4992 BRISTOL INDUSTRIAL WAY, BUFORD, GA 30518-1742
(770) 904-6419
Mailing address
4992 BRISTOL INDUSTRIAL WAY, BUFORD, GA 30518-1742
(770) 904-6419
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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