Individual
DR. GAVIN LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1851 OLD US 66 STE B, EDGEWOOD, NM 87015-7200
(505) 281-8463
Mailing address
19 COUNTY ROAD 17A, STANLEY, NM 87056-9763
(505) 440-2928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2023-2215
NM
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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