Individual
KERRILYN GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MTC
Contact information
Practice address
3355 COPTER RD BLDG 1&2, PENSACOLA, FL 32514-7083
(850) 529-3496
Mailing address
3155 SONYA ST, PACE, FL 32571-9554
(850) 529-3496
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT12062
FL
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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