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Joseph Pavich, ATC, LAT
NPI 1649547480 · on the registry since 2011
Practice
- Address
- 2499 W Cota Dr
Bloomington, IN 47403 - Phone
- (812) 353-9319
- Organisation at this address
- Kevin Powers Dpm
Comprehensive Spine CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1816 Eagle Dr, Woodstock, GA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- GA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana