Individual
KAREN ANN LEVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSHSA, PTA
Contact information
Practice address
477 ADIRONDACK LAKE ROAD, INDIAN LAKE, NY 12842-0204
(518) 648-0448
Mailing address
PO BOX 204, INDIAN LAKE, NY 12842-0204
(518) 648-0448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001072-1
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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