HAROLD ALLEN LAVINE

SOUTH DAYTONA, FL
NPI1417101114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OP006634)
Enumeration Date2008-11-07
Last Update Date2008-11-07
Business Address
Mr. HAROLD ALLEN LAVINE
917 BEVILLE RD
SOUTH DAYTONA, FL 32119-1712
Phone number: 386-756-4395
Mailing Address
Mr. HAROLD ALLEN LAVINE
1824 MOUNTAINSIDE AVE
SUFFOLK, VA 23434-6752
Phone number: 757-582-3930