Individual
JOYCE DAODAO GAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1015 WEBBER ST, THE DALLES, OR 97058-3527
(541) 296-2156
Mailing address
2406 W 10TH ST, #34, THE DALLES, OR 97058-4256
(541) 980-3762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60453
OR
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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