Individual
JANE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
1227881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013226600
—
FL
05
—
014372600
—
FL
Enumeration date
03/06/2013
Last updated
03/05/2015
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