Individual
BRIDGETTE NICOLE ANTOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
1161 EDGEWATER DR, TROY, OH 45373-7564
(317) 525-3044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008319RX
OH
Other
Enumeration date
08/15/2023
Last updated
08/30/2023
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