Individual
LISA LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 LOCUST ST, DANVERS, MA 01923-2240
(978) 777-0011
(610) 612-5488
Mailing address
63 LOCUST ST, DANVERS, MA 01923-2240
(978) 777-0011
(610) 612-5488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3646
MA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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