Most Relevant Information
Provider Data
| NPI Number: | 1003004631 |
| Provider Name: | TERRY THOMAS CAVANAUGH PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT423 |
Most Important Dates
| Enumeration Date: | 10/09/2007 |
| Last Updated: | 06/30/2009 |
Provider Practice Location
222 TONGASS DR
SITKA
AK
998359416
Practice Location Phone/Fax
| Phone: | 9079668312 |
| Fax: |
Provider Mailing Location
222 TONGASS DR
SITKA
AK
998359416
Provider Mailing Phone/Fax
| Phone: | 9079668312 |
| Fax: |