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Individual
TERI LOW MCGAVIN
Active
Individual
TERI LOW MCGAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042LO
REGENCE
WA
01
—
0150733
DEPT. OF LABOR & INDUSTRY
WA
01
—
0273747
DEPT OF L&I
WA
01
—
0273752
DEPT OF L&I
WA
01
—
2253LO
REGENCE BLUE SHIELD
WA
01
—
3258LO
REGENCE BLUE SHIELD
WA
01
—
5470289
AETNA
WA
01
—
5782LO
REGENCE
WA
01
—
650021416
RAILROAD MEDICARE
WA
01
—
6565LO
REGENCE BLUE SHIELD
WA
05
—
8336398
—
WA
01
—
8928438
L&I CRIME VICTIMS
WA
01
—
911745305-98208-A005
TRICARE
WA
01
—
911745305-98208-B007
TRICARE
WA
Enumeration date
05/28/2006
Last updated
12/03/2014
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