Individual
MRS. BRIDGETTE HALLIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 36TH ST W, STE D, BRADENTON, FL 34205-2459
(941) 745-1313
Mailing address
816 3RD ST E, BRADENTON, FL 34208-2525
(941) 726-6962
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33055
FL
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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