Individual
MRS. ALLISON CHAVANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
32 W 19TH RD, BROAD CHANNEL, NY 11693-1212
(917) 796-3643
Mailing address
32 W 19TH RD, BROAD CHANNEL, NY 11693-1212
(917) 796-3643
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
027825
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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