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1205042629
JACQUELINE LEE LEAVITT
NEW YORK, NY
NPI
1205042629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 024576)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JACQUELINE LEE LEAVITT PT
177 PRINCE ST #407
NEW YORK, NY 10012
Phone number: 917-309-4070
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Mailing Address
-- JACQUELINE LEE LEAVITT PT
529 BROOME ST APT 27
NEW YORK, NY 10013-6405
Phone number: 646-613-0474
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