Organization
A BRIDGE TO WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY H. VIGEANT LMP (PRESIDENT)
(360) 993-0599
Entity
Organization
Contact information
Practice address
316 E FOURTH PLAIN BLVD, SUITE B, VANCOUVER, WA 98663-3074
(360) 993-0599
(360) 695-0378
Mailing address
815 E 29TH ST, VANCOUVER, WA 98663-2713
(360) 993-0599
(360) 695-0378
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA20866
WA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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