Individual
MRS. BRIDGET MICHELE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
525 W OAKLAND AVE STE 205, JOHNSON CITY, TN 37604-1673
(423) 282-1700
Mailing address
143 GLEN OAKS DR, JOHNSON CITY, TN 37615-3638
(423) 202-5946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4253
TN
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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