Individual
DOREEN MCGAUVRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4610 HOLLY TREE RD, WILMINGTON, NC 28409-8556
(910) 218-9561
Mailing address
212 SAND DOLLAR LN, SOUTHPORT, NC 28461-6101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6422
NC
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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