Individual
NATHAN DALLAS PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 DEAN ST, TAUNTON, MA 02780-2713
(508) 824-2865
Mailing address
7 TRIPP ST, DARTMOUTH, MA 02748-2733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9209
MA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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