Individual
JOAN CAROL CAVANAGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
141 MARK TREE RD, CENTEREACH, NY 11720-2221
(631) 467-4235
(631) 467-2655
Mailing address
7 BRIANA CT, EAST MORICHES, NY 11940-1583
(631) 467-4235
(631) 467-2655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001549-1
NY
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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