Provider Demographics
NPI:1093118788
Name:DUNGAN, BRIDGET (DPT)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:DUNGAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 GREGORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06855-2019
Mailing Address - Country:US
Mailing Address - Phone:914-714-2037
Mailing Address - Fax:
Practice Address - Street 1:68 WATER ST STE 3
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3069
Practice Address - Country:US
Practice Address - Phone:914-714-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62038186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY62038186OtherLICENSE