Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT26279 | CA |
NPI | 1053470419 |
---|---|
Provider Name | Patrick Bryan Bridgett |
First Address | San Francisco, CA 94114-3031 |
Second Address | San Francisco, CA 94114-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 03/02/2017 |