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NPI 1285695130

NPI 1285695130 : LEVAS PHYSICAL & OCCUPATIONAL THERAPY : LAJOLLA, CA

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General NPI Number Information
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    NPI Number           |    1285695130
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEVAS PHYSICAL & OCCUPATIONAL THERAPY 
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Dates
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    Enumeration Date     |    03/30/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    9404 GENESEE AVE. SUITE 310
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    City                 |    LAJOLLA
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    State                |    CA
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    Zip                  |    92037
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    Country              |    US
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    Telephone            |    858-455-1195
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9404 GENESEE AVE STE 310
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037
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    Country              |    US
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    Telephone            |    858-455-1195
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    Fax                  |    858-455-7101
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Authorized Official
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    Title or Position    |    OWNER SOLE PROPRIETOR
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    Name                 |     MICHAEL G LEVAS 
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    Credential           |    PT
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    Telephone            |    858-455-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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