Individual
MS. CHEYENNE JESSICA GAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
233 BROADWAY RM 1410, NEW YORK, NY 10279-1814
(212) 233-9494
Mailing address
4118 CRESCENT ST APT 1B, LONG ISLAND CITY, NY 11101-3856
(347) 616-1304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049228
NY
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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