Individual
BRIDGET LAVAVESHKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7454 NEWCASTLE GOLF CLUB RD, NEWCASTLE, WA 98059-9176
(425) 543-1508
Mailing address
610 GALER ST, APT. 125, SEATTLE, WA 98109-3380
(785) 760-4146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60349535
WA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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