Individual
ALYSSA KATHALEEN GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
3188 LAUGHEAD LN, GARNET VALLEY, PA 19060-2018
(484) 680-8390
Mailing address
3188 LAUGHEAD LN, GARNET VALLEY, PA 19060-2018
(484) 680-8390
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC015349
PA
Other
Enumeration date
09/06/2018
Last updated
03/09/2026
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