Individual
ELIZABETH PAVESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
115 PARK ST SE, SUITE 206, VIENNA, VA 22180-4653
(703) 766-0616
Mailing address
4 BAFFORD CT, GLEN ARM, MD 21057-9764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210546
VA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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