Individual
MS. MARY F GAVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1645 W 8TH ST, ERIE, PA 16505-5007
(814) 875-8700
(814) 875-8756
Mailing address
PO BOX 8500 # 7642, PHILADELPHIA, PA 19178-7642
(814) 875-8700
(814) 875-8756
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC000191L
PA
Other
Enumeration date
04/24/2012
Last updated
03/10/2015
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