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NPI Code Detail

MEDICARE: NOAH LEVINE PT, DPT

MEDICARE:   NOAH  LEVINE  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 Therapist304397CA

General Provider Information

NPI Number : 1801579891
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH LEVINE PT, DPT
Provider Business Mailing Address
First Line : 28210 DOROTHY DR STE 110
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2298
Country : US
Telephone Number : 818-532-7600
Fax Number :
Provider Business Practice Location Address
First Line : 28210 DOROTHY DR STE 110
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2298
Country : US
Telephone Number : 818-532-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ NOAH LEVINE PT, DPT” Practice Location

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