MEDICARE: BRIDGET A MCNAMARA PT

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	007211	CT

General Provider Information

NPI Number	:	1245345040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET A MCNAMARA PT

Provider Business Mailing Address
First Line	:	419 CARROLL RD
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-3072
Country	:	US
Telephone Number	:	203-470-0991
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 BEACH RD STE 207
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	203-255-7000
Fax Number	:

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	12/01/2022

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Directions to “ BRIDGET A MCNAMARA PT” Practice Location

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