Individual
LORI LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
360 N ARROYO BLVD, PASADENA, CA 91103-3201
(626) 564-0330
Mailing address
360 N ARROYO BLVD, PASADENA, CA 91103-3201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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