Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridget L Pettyjohn

Individual provider Prosthetic/Orthotic Supplier · NPI 1790529386

Bridget L Pettyjohn is a Prosthetic/Orthotic Supplier in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

6120 Brookshire Blvd Ste W
Charlotte, NC 28216-3300
Phone: (704) 320-1463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X (NC)

Record details

NPI number1790529386
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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