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1720297120
LARRY LEVINE
COLCHESTER, VT
NPI
1720297120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VT 0720000364)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
LARRY LEVINE OTR
1110 PRIM RD
COLCHESTER, VT 05446-6403
Phone number: 802-658-1900
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Mailing Address
LARRY LEVINE OTR
7E RACEWAY RD
JERICHO, VT 05465-2099
Phone number: 802-858-4045
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