Individual
BRIDGETTE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 73RD AVE N APT 108, ST PETERSBURG, FL 33702-5948
(812) 361-8744
Mailing address
225 73RD AVE N APT 108, ST PETERSBURG, FL 33702-5948
(812) 361-8744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18137
FL
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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