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Individual
THERESA MARIE GAVIN
Active
Individual
THERESA MARIE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT032517
PA
225200000X
Physical Therapy Assistant
007017
NY
225200000X
Physical Therapy Assistant
TE1003277
PA
Other
Enumeration date
04/24/2013
Last updated
08/07/2024
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