Smith, Gavin Mathew
Smith, Gavin Mathew is an individual health care provider with primary practice located at 869 Calle Clavel , Thousand Oaks CA 91360-4911. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Smith, Gavin Mathew can be contacted via phone (805) 284-5189.Contact Information
Primary practice address
869 Calle Clavel
Thousand Oaks CA 91360-4911
Phone: (805) 284-5189
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 292011 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT292011 | California |
Profile Details
NPI number | 1679029425 |
---|---|
LBN Legal business name | Smith, Gavin Mathew |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2016 |
Last updated | Apr 23rd, 2019 - about 6 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.
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