Individual
DR. GAVIN SCOT MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13 WALL ST, WALTHAM, MA 02453-8645
(781) 516-7578
Mailing address
13 WALL ST, WALTHAM, MA 02453-8645
(781) 516-7578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL81060
MA
Other
Enumeration date
09/23/2025
Last updated
10/24/2025
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