Individual
BRIDGET IRENE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 KIRBY DR, TITUSVILLE, FL 32796-1230
(608) 574-8176
Mailing address
3435 KIRBY DR, TITUSVILLE, FL 32796-1230
(608) 574-8176
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
4100334
NY
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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