Individual
STEPHANIE GAVINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4409 W WADLEY AVE, MIDLAND, TX 79707-5328
(432) 617-3110
Mailing address
5000 HANOVER DR, ODESSA, TX 79761-2239
(432) 550-4700
(432) 550-4715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4062991
TX
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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