Individual
MRS. BRIDGETTE ANN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
5219 HICKORY PARK DR, SUITE C, GLEN ALLEN, VA 23059-2618
(804) 228-4480
(804) 228-4484
Mailing address
5219 HICKORY PARK DR, SUITE C, GLEN ALLEN, VA 23059-2618
(804) 228-4480
(804) 228-4484
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000372
VA
Other
Enumeration date
01/10/2007
Last updated
11/02/2010
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