Individual
BRIDGET PINONIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-2977
(701) 777-2536
Mailing address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-2977
(701) 777-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
772-17
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
772-17
ATHLETIC TRAINER
ND
Enumeration date
10/31/2017
Last updated
10/31/2017
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