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Individual
MICHAEL JAMES LAVIOLETTE II
Active
Individual
MICHAEL JAMES LAVIOLETTE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23670
MA
2251X0800X
Orthopedic Physical Therapist
PT293580
CA
Other
Enumeration date
08/31/2017
Last updated
07/08/2019
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