Individual
BRIDGETTE MARGUERITE BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5509 PLEASANT VALLEY DR STE 50, PLANO, TX 75023-5225
(469) 443-6025
Mailing address
1300 LONESOME DOVE TRL, WYLIE, TX 75098-7977
(469) 777-0358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
116488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116488
LMT
TX
Enumeration date
02/28/2023
Last updated
02/28/2023
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