Doctor Name: | DR. DAVID ALAN LAVIN |
NPI Number: | 1003113358 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T.,D.P.T.,C.S.C.S. |
License Number: | PT 25768 |
Business Practice Address: | 1897 Island Walk Way Unit 6 Fernandina Beach, FL - 320341948 |
Business Phone Number: | 9042614664 |
Business Fax Number: | 9042615852 |
Mailing Address: | Po Box 949, ROME |
State: | GA |
Postal Code: | 301620949 |
Phone Number: | 7062362774 |
Fax Number: | 7068021408 |
NPI Enumeration Date: | 02/23/2011 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 25768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |