Individual
MR. MATTHEW SETH GAVZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1086 TEANECK RD, SUITE 3E, TEANECK, NJ 07666-4854
(201) 833-1333
(201) 833-1390
Mailing address
11-06 CHARLES ST, FAIR LAWN, NJ 07410-1700
(201) 797-1917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00238900
NJ
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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