Organization
BRIDGE THE GAP PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR LEE SOUIK DPT, CSCS, BRM (PHYSICAL THERAPIST, COACH)
(920) 917-0840
Entity
Organization
Contact information
Practice address
11811 NE 128TH ST, KIRKLAND, WA 98034-7200
(920) 917-0840
Mailing address
11811 NE 128TH ST, KIRKLAND, WA 98034-7200
(920) 917-0840
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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