Individual
BRIDGET DEFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
156 PITTMAN CT, STEPHENS CITY, VA 22655-2891
(304) 633-3186
Mailing address
156 PITTMAN CT, STEPHENS CITY, VA 22655-2891
(304) 633-3186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204059
VA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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