Individual
DEBRA L LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
24B SANDWICH RD, WAREHAM, MA 02571-1628
(508) 965-3974
Mailing address
30 RUSSELL ST, TAUNTON, MA 02780-1418
(508) 823-7506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
734
MA
225700000X
Massage Therapist
673
MA
Other
Enumeration date
01/10/2007
Last updated
09/25/2009
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