Individual
SHERYL LOIS GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
206 W PROSPECT ST, THORP, WI 54771-9303
(715) 669-5321
Mailing address
224 W GINTY ST, CADOTT, WI 54727-9100
(715) 289-4152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
805-019
WI
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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