Provider Demographics
NPI:1720458987
Name:DONAHUE, BRIDGETTE (DPT)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:AILEEN
Other - Last Name:TROMETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:235 OLSON WAY UNIT 519
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6592
Mailing Address - Country:US
Mailing Address - Phone:781-572-2346
Mailing Address - Fax:
Practice Address - Street 1:725 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1601
Practice Address - Country:US
Practice Address - Phone:781-572-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27468225100000X
CA431292251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist