Individual
KIM MARIE BRIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13805 APPLING LANE, CHARLOTTE, NC 28278
(704) 504-8307
(704) 504-8307
Mailing address
3724 NATIONAL DRIVE, SUITE 110, RALEIGH, NC 27612
(919) 781-9565
(919) 781-9564
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2395
NC
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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