Provider Demographics
NPI:1083759682
Name:PAVAO, LINDSAY (ATC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:PAVAO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SHARPS LOT RD
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-3725
Mailing Address - Country:US
Mailing Address - Phone:508-678-8626
Mailing Address - Fax:
Practice Address - Street 1:151 MARTINE ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1514
Practice Address - Country:US
Practice Address - Phone:781-774-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer