Gavin, Traci D

Gavin, Traci D is an individual health care provider with primary practice located at 270 Richland Dr , Pulaski TN 38478-2616. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gavin, Traci D can be contacted via phone (931) 363-4558.

Contact Information

Primary practice address
270 Richland Dr Pulaski TN 38478-2616
Phone: (931) 363-4558
Fax: (931) 363-8975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1336565142
LBN Legal business name Gavin, Traci D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers