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Bridget Sullivan, ATC

Specialist/Technologist, Athletic Trainer in Winston-Salem, NC. Individual provider (NPI-1).

NPI number1003345554
StatusActive
Last updated in NPPESOct 11, 2024

Details

NPI
1003345554
Entity type
Individual (NPI-1)
Name
Bridget Sullivan
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2017
Certification date
Oct 7, 2024
Last updated
Oct 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerLAT-4697NCYes

Practice location

4030 Wellman Way
Miller Center
Winston-Salem, NC 27109

Phone 336-758-4188

Mailing address

126 Brookstown Ave Apt 150
Winston Salem, NC 27101-5377

Phone 615-491-3014

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