| NPI | 1740169382 |
|---|---|
| Former Name | HEATHER BRIDGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 225400000X Rehabilitation Practitioner | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |