Individual
GAVIN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
13618 SW ROSEMARY LN, TIGARD, OR 97223-1525
(541) 645-4458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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