Individual
MRS. MARTHA JANE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
111 DODGE STREET, BEVERLY, MA 01915-1827
(978) 921-1182
(978) 921-2982
Mailing address
11 GARDNER STREET, BEVERLY, MA 01915-1827
(978) 927-5618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3191
MA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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