Doctor Name: | MELISSA M GAVIN |
NPI Number: | 1386939965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | |
Business Practice Address: | 1564 Route 507 Suite C Greentown, PA - 184264502 |
Business Phone Number: | 5706760700 |
Business Fax Number: | 5706760766 |
Mailing Address: | 24569 Route 6, Suite C TOWANDA |
State: | PA |
Postal Code: | 188488254 |
Phone Number: | 5702651111 |
Fax Number: | 5702657134 |
NPI Enumeration Date: | 06/13/2011 |
NPI Last Update Date: | 06/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |