Individual
MICHELLE ANTIONETTE GAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4048
Mailing address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
PA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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