Individual
ERIN LAVENICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1006 PROSPECT RD, COLUMBIA, PA 17512-8931
(717) 449-2390
Mailing address
1006 PROSPECT RD, COLUMBIA, PA 17512-8931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005630
PA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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