| NPI | 1255565545 |
|---|---|
| Former Name | MARY K PAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 07557) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA OTT.200306) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2021-07-20 |