Individual
MAKINA ITCHKAVICH-LEVASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
40 UNIVERSITY DR, RINDGE, NH 03461-5045
(603) 899-1142
Mailing address
223 BANCROFT RD, RINDGE, NH 03461-5906
(603) 630-1166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0686
NH
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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