Individual
SUSAN ELIZABETH GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
495 NEW BOSTON RD, FALL RIVER, MA 02720-5835
(508) 679-0109
Mailing address
233 AQUIDNECK ST, NEW BEDFORD, MA 02744-1401
(508) 994-5109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3233
MA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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