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Individual

EMILY NICOLE VAVROSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
283 NE 223RD AVE, GRESHAM, OR 97030-8407
(503) 912-1192
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61955
OR
225100000X
Physical Therapist
CP035076T
WA
225100000X
Physical Therapist
PT.PT.61615153-CP
WA

Other

Enumeration date
09/22/2016
Last updated
04/22/2026
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