Individual
EMILY SANDRA GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
21 ASHMEAD PL N, PHILADELPHIA, PA 19144-2916
(267) 375-9131
(267) 787-1142
Mailing address
21 ASHMEAD PL N, PHILADELPHIA, PA 19144-2916
(267) 375-9131
(267) 787-1142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012625
PA
225XG0600X
Gerontology Occupational Therapist
OC012625
PA
Other
Enumeration date
01/31/2013
Last updated
01/31/2024
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