| NPI | 1710214515 |
|---|---|
| Former Name | LAURA M BRYDGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019940) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01679700) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2017-04-28 |