Doctor Name: | MS. BRIDIGITTE BONDURANT |
NPI Number: | 1144545716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA00013598 |
Business Practice Address: | 1329 Lee Blvd Richland, WA - 993524629 |
Business Phone Number: | 5099439589 |
Business Fax Number: | 5099466669 |
Mailing Address: | 7101 W Hood Pl, Suite A102 KENNEWICK |
State: | WA |
Postal Code: | 993366700 |
Phone Number: | 5094911155 |
Fax Number: | 5095911156 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00013598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |