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Individual

JACKSON TOBIN CAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2555 COURT DR STE 400, GASTONIA, NC 28054-2180
(704) 864-5550
(704) 864-5550
Mailing address
2555 COURT DR STE 400, GASTONIA, NC 28054-2180
(704) 864-5550
(704) 864-5550

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014254A
IN
225100000X
Physical Therapist
Primary
CP022613T
NC

Other

Enumeration date
08/24/2021
Last updated
12/16/2024
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