Individual
MR. MARTIN LAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
38 E 5TH AVE, #180, DENVER, CO 80203-3436
(303) 893-0047
(720) 570-7996
Mailing address
38 E 5TH AVE, #180, DENVER, CO 80203-3436
(303) 893-0047
(720) 570-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4772
CO
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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