Individual
MR. LEVY M LECONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-3540
Mailing address
PO BOX 820, PINETOP, AZ 85935-0820
(516) 303-2983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29861
FL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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