Individual
MRS. LYNN MAIRE LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 CHRISTY PL, BROCKTON, MA 02301-1826
(508) 895-0531
Mailing address
47 WORCESTER ST, TAUNTON, MA 02780-7619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2682
MA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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