Provider Demographics
NPI:1851951487
Name:HUNT, BRIDGET RENE (ATC)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:RENE
Last Name:HUNT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 STATE RD
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:PA
Mailing Address - Zip Code:19021-7440
Mailing Address - Country:US
Mailing Address - Phone:215-900-6208
Mailing Address - Fax:
Practice Address - Street 1:47 N HARVARD ST
Practice Address - Street 2:
Practice Address - City:ALLSON
Practice Address - State:MA
Practice Address - Zip Code:02134
Practice Address - Country:US
Practice Address - Phone:617-495-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer