| NPI | 1780175893 |
|---|---|
| Former Name | HAILEY D BRIDGEWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-08-22 |