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Individual

MS. CAROL SUSAN LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.P.T.

Contact information

Practice address
34 VALLEYWOOD RD, COMMACK, NY 11725-4320
(631) 921-2107
Mailing address
34 VALLEYWOOD RD, COMMACK, NY 11725-4320
(631) 921-2107

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004912
CT
225100000X
Physical Therapist
Primary
013577-1
NY
225100000X
Physical Therapist
1113587
TX
225100000X
Physical Therapist
PT16217
FL
225100000X
Physical Therapist
PTH4898
AL

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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