Individual
AMY LAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
208 WASHINGTON ST, WINCHESTER, MA 01890-2128
(774) 239-1591
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1437
MA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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