# THE BRIDGE OCCUPATIONAL THERAPY & UPPER EXTREMITY REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548646532
- **Authorized official:** MRS. MARY CHARLENE GUARDIA OTRL, CHT (OWNER/PRACTITIONER)
- **Authorized official phone:** (253) 363-3758

## Contact information

- **Practice address:** 5401 32ND AVE NW STE 104, GIG HARBOR, WA 98335-6308
- **Practice address phone:** (253) 363-3758
- **Mailing address:** 5401 32ND AVE NW STE 104, GIG HARBOR, WA 98335-6308
- **Mailing address phone:** (253) 363-3758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | OT 00002991 | WA | Yes |

## Other

- **Enumeration date:** 08/03/2015
- **Last updated:** 08/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NPI GROUP 1104200435 | NPPES | WA |