Individual
ANDREA LYNN LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
1 BOYD ST, CORNWALL, PA 17016
(717) 273-2647
Mailing address
362 HOMESTEAD DR, LEBANON, PA 17042-7968
(717) 383-0744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003160L
PA
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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