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NPI Code Detail

MEDICARE: CARLY LEVIN PT, DPT

MEDICARE: CARLY LEVIN PT, DPT
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
1225100000XPhysical Therapist40QA02091800NJ

General Provider Information

NPI Number : 1144959339
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY LEVIN PT, DPT
Provider Business Mailing Address
First Line : 224 STRAWBRIDGE DR STE 100
Second Line :
City : MOORESTOWN
State : NJ
Zip : 08057-4602
Country : US
Telephone Number : 856-677-4000
Fax Number : 856-234-3014
Provider Business Practice Location Address
First Line : 1900 MOUNT HOLLY RD STE 4C
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-4725
Country : US
Telephone Number : 609-747-1915
Fax Number : 609-747-8565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/06/2022

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Directions to “ CARLY LEVIN PT, DPT” Practice Location

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