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NPI Code Detail

MEDICARE: LEVINS PHYSIOTHERAPY

MEDICARE: LEVINS PHYSIOTHERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center02644FLA

General Provider Information

NPI Number : 1598213753
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEVINS PHYSIOTHERAPY
Provider Business Mailing Address
First Line : 15029 HIGHLAND RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-5524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3854 AMERICAN WAY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4013
Country : US
Telephone Number : 225-773-0943
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. STEPHEN MATTHEW LEVINS
Credential : PT, OCS, FAAOMPT
Telephone Number : 225-773-0943
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/16/2016

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