| NPI | 1073832184 |
|---|---|
| Former Name | AMANDA LEVINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-09-23 |