Individual
BRIDGET MARY WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
519 ASHMONT ST, DORCHESTER, MA 02122
(617) 320-5992
Mailing address
519 ASHMONT ST, DORCHESTER, MA 02122-2319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA619
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2017
Last updated
06/06/2018
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