Individual
DAWN TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
56 BALSAM ST, FAIRHAVEN, MA 02719-7045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2762
MA
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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