Individual
CAROLINE MCGAVOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
124 JOHN KING RD, CRESTVIEW, FL 32539-8306
(850) 634-6020
Mailing address
286 PINE NEEDLE WAY, SANTA ROSA BEACH, FL 32459-7921
(806) 782-2964
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT25991
FL
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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