Individual
BRIDGETTE RENEE BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7611 SAINT ANDREWS RD, IRMO, SC 29063-2834
(803) 714-3300
(803) 626-9356
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9435
SC
225100000X
Physical Therapist
9985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH4129
—
SC
Enumeration date
06/11/2006
Last updated
06/15/2021
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