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Individual

LIAT CHANA AVITAL

Active
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Individual

LIAT CHANA AVITAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-32828
AZ
225100000X
Physical Therapist
040027-1
NY
225100000X
Physical Therapist
Primary
LPT-32828
AZ
2251X0800X
Orthopedic Physical Therapist
040027-1
NY

Other

Enumeration date
03/15/2016
Last updated
05/07/2025
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