Individual
DR. JENNIFER LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MTC, CMTPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070021609
IL
225100000X
Physical Therapist
Primary
12283
WI
225100000X
Physical Therapist
PTL.0013009
CO
Other
Enumeration date
02/22/2013
Last updated
12/11/2017
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