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Individual
GAVIN MATTHEW SILVER
Active
Individual
GAVIN MATTHEW SILVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031705
NY
2251S0007X
Sports Physical Therapist
031705
NY
2251X0800X
Orthopedic Physical Therapist
031705
NY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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