Individual
MICHELLE LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017268-1
NY
225X00000X
Occupational Therapist
Primary
056.010063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3990897
TAX ID
NY
Enumeration date
04/09/2012
Last updated
05/17/2013
Update your record
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