Individual
JESSICA LAVETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(610) 268-6718
Mailing address
153 MAIN ST, SAYVILLE, NY 11782-2503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003024
PA
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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