Individual
SHANNON C GAVIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9609 PLANK RD, SUITE P, CLINTON, LA 70722-3702
(225) 683-1111
(225) 683-1177
Mailing address
6822 OAK CLUSTER DR, GREENWELL SPRINGS, LA 70739-4139
(225) 683-1111
(225) 683-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03685
LA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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