Individual
MRS. SARAH KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,MS
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6267
Mailing address
22 SOUNDVIEW DR, SHOREHAM, NY 11786-1154
(631) 849-3227
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
026392-1
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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