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Individual

BRIDGET LYN DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT, ATC

Contact information

Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Mailing address
1826 BARRINGTON DR, SUN PRAIRIE, WI 53590-3502

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/28/2022
Last updated
11/02/2022
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