| NPI | 1134595119 |
|---|---|
| Former Name | REBEKAH CAROL LAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021648) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.021648) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-03-30 |