Individual
GABRIEL BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
20315 121ST CT SE, KENT, WA 98031-1718
(206) 383-7798
Mailing address
20315 121ST CT SE, KENT, WA 98031-1718
(206) 383-7798
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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