Individual ProviderBridgette Renee BunkerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7611 Saint Andrews Rd, Irmo, SC 29063-2834(803) 714-3300(843) 695-6071PECOS EnrollmentBased on the most recent information from CMS, provider Bridgette Renee Bunker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1932141371Provider TypeIndividualFull NameBunker, Bridgette ReneeCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/11/2006Last Updated6/15/2021Contact InformationPractice LocationPractice Address7611 Saint Andrews Rd, Irmo, SC 29063-2834Phone(803) 714-3300Fax(803) 626-9356Mailing LocationMailing AddressPO Box 530062, Atlanta, GA 30353-0062Phone(843) 695-6071Fax(843) 569-5879Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9435South CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9985North CarolinaProvider IdentifiersIDDescriptionIssuerIDTH4129DescriptionMedicaidIssuerUnlistedSouth Carolina