Provider Demographics
NPI:1720158512
Name:PILLING, BRIDGETTE J (PT)
Entity Type:Individual
Prefix:MISS
First Name:BRIDGETTE
Middle Name:J
Last Name:PILLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:J
Other - Last Name:STYCZYNSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1625 STOCKTON BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-9053
Mailing Address - Country:US
Mailing Address - Phone:916-262-9040
Mailing Address - Fax:916-262-9045
Practice Address - Street 1:1625 STOCKTON BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-9053
Practice Address - Country:US
Practice Address - Phone:916-454-6687
Practice Address - Fax:916-454-6796
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33199225100000X
CAPT33199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist