Individual
COLLEEN LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2500 WARREN CARROLL DR, BOX 8502, RALEIGH, NC 27695-0001
(919) 515-2111
Mailing address
2500 WARREN CARROLL DR, BOX 8502, RALEIGH, NC 27695-0001
(919) 515-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000016011
BOARD OF CERTIFICATION
—
01
—
LAT-2480
NORTH CAROLINA BOARD OF ATHLETIC TRAINING EXAMINERS
NC
Enumeration date
03/03/2015
Last updated
03/03/2015
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