Provider Demographics
NPI:1649880998
Name:PAVLAK, JOANNA FRANCES (DPT)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:FRANCES
Last Name:PAVLAK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:FRANCES
Other - Last Name:PAVLAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1330 CORPORATE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1330 CORPORATE DR STE 500
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4446
Practice Address - Country:US
Practice Address - Phone:330-528-0034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-02
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist