Individual
TIERRA BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GARNER RD STE 101, SPARTANBURG, SC 29303-3149
(864) 902-4484
Mailing address
104 GARNER RD, SPARTANBURG, SC 29303-3149
(864) 902-4484
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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