Individual
MRS. MICHELE PAVLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
154 S POND DR, BREWSTER, MA 02631-1996
(774) 353-7205
Mailing address
PO BOX 1887, NORTH EASTHAM, MA 02651-1887
(774) 353-7205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1699
MA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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