Joan Carol Cavanagh, PTA

NPI #1750361648 in Centereach, New York

Provider Information

NPI Number: 1750361648
Entity Type: Individual
Name: Joan Carol Cavanagh, PTA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 141 MARK TREE RD
City: Centereach
State: New York
ZIP Code: 11720-2221
Phone: (631) 467-4235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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