Individual
ASHLEY DAWN PAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052953
NY
Other
Enumeration date
08/14/2024
Last updated
08/19/2024
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