Individual
BRADLEY GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 E DIVISION ST APT D, MOUNT VERNON, WA 98274-4803
(360) 708-8924
Mailing address
2310 E DIVISION ST APT D, MOUNT VERNON, WA 98274-4803
(360) 708-8924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160201746
WA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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