MEDICARE: DR. BRIDGET GAMACHE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT02967	RI

General Provider Information

NPI Number	:	1013456920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIDGET GAMACHE DPT

Provider Business Mailing Address
First Line	:	81 BEACH ST
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2784
Country	:	US
Telephone Number	:	401-596-3593
Fax Number	:	401-596-3593

Provider Business Practice Location Address
First Line	:	81 BEACH ST
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2784
Country	:	US
Telephone Number	:	401-596-3593
Fax Number	:	401-596-3789

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	08/20/2020

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Directions to “ DR. BRIDGET GAMACHE DPT” Practice Location

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