Individual
LARISA LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10125 VERREE RD STE 100, PHILADELPHIA, PA 19116-3611
(215) 464-8900
(215) 613-8946
Mailing address
10125 VERREE RD STE 100, PHILADELPHIA, PA 19116-3611
(215) 464-8900
(215) 613-8946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT011778L
PA
Other
Enumeration date
03/09/2006
Last updated
11/09/2020
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