Individual
MR. GAVIN GARDNER HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, CPED
Contact information
Practice address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 599-1138
(412) 599-1130
Mailing address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 599-1138
(412) 599-1130
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OH000034
PA
224L00000X
Pedorthist
PD000008
PA
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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