Individual
MRS. BRIDGET M. GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
145 RIVENDELL DR, LEXINGTON, SC 29073-6918
(803) 240-8839
Mailing address
145 RIVENDELL DR, LEXINGTON, SC 29073-6918
(803) 240-8839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1578
SC
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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