Individual
ALANA JO GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-5528
Mailing address
1642 CAPOLI RD, LANSING, IA 52151-7533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004700
IA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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