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 |