Most Relevant Information
Provider Data
| NPI Number: | 1003582099 |
| Provider Name: | GAVIN MARC HUFFMAN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
214 18TH ST SE
HICKORY
NC
286021363
Practice Location Phone/Fax
| Phone: | 8284852160 |
| Fax: |
Provider Mailing Location
4601 PARK RD STE 300
CHARLOTTE
NC
282092290
Provider Mailing Phone/Fax
| Phone: | 7043232090 |
| Fax: |