| Bridge The Gap Physical Therapy, Llc | |
|
11811 Ne 128th St Kirkland WA 98034-7200 | |
| (920) 917-0840 | |
| Not Available |
| Full Name | Bridge The Gap Physical Therapy, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11811 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Trevor Lee Souik (PHYSICAL THERAPIST, COACH) |
| Authorized Official Contact | 9209170840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge The Gap Physical Therapy, Llc 11811 Ne 128th St Kirkland WA 98034-7200 Ph: (920) 917-0840 | Bridge The Gap Physical Therapy, Llc 11811 Ne 128th St Kirkland WA 98034-7200 Ph: (920) 917-0840 |
| NPI Number | 1093478968 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093478968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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