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1023362423
JUSTIN CARL LAVO
BALA CYNWYD, PA
NPI
1023362423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT022464)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
Mr. JUSTIN CARL LAVO PT, DPT
100 PRESIDENTAL BOULEVARD
BALA CYNWYD, PA 19004
Phone number: 610-668-0904
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Mailing Address
Mr. JUSTIN CARL LAVO PT, DPT
100 LEVERINGTON AVE APT 202
PHILADELPHIA, PA 19127
Phone number: 607-221-5841
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