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Organization
LEV3L PERFORMANCE PHYSICAL THERAPY
Active
Organization
LEV3L PERFORMANCE PHYSICAL THERAPY
Active
Other names
LEV3L PERFORMANCE PT
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WHITELEY DPT (OWNER)
(918) 520-7151
Entity
Organization
Contact information
Practice address
301 12TH ST SE, WATFORD CITY, ND 58854-6722
(918) 520-7151
Mailing address
PO BOX 2334, WATFORD CITY, ND 58854-2334
(918) 520-7151
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
01/06/2023
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