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NPI Profile for IESHA M BRIDGEWATER in HOUMA, LA.
An individual skilled in the practice, making, use and application to individual cases of an orthopedic appliance or apparatus used to support, align, prevent or correct deformities or to improve the function of movable parts of the body.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist |
| NPI # | 1972373660 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/04/2024 | |
| Last updated | 01/04/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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IESHA M BRIDGEWATER
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IESHA M BRIDGEWATER