Justin Carl Lavo PT, DPT

NPI 1023362423 - Physical Therapist - 225100000X

NPI Details
NPI 1023362423
Gender Male
Enumeration Date 11/07/2012
Last Updated 11/07/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
100 PRESIDENTAL BOULEVARD
BALA CYNWYD PA, 19004, US
Phone (610) 668-0904
Fax (610) 668-0668
Business Location
100 LEVERINGTON AVE
APT 202
PHILADELPHIA PA, 19127, US
Phone (607) 221-5841
Fax (610) 668-0668
Toxanomy
Taxonomy Code 225100000X
License State Pennsylvania
License Number PT022464
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According to our database, Mr. Justin Carl Lavo PT, DPT NPI is 1023362423, taxonomy code is 225100000X and license number is PT022464, license state is located at Pennsylvania. Justin Carl Lavo PT, DPT physically located at 100 Presidental Boulevard, Bala Cynwyd PA, 19004. NPI Number Justin Carl Lavo PT, DPT has the Individual type.

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1023362423 NPI number is provided on an as is basis without warranty of any kind. 1023362423 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Carl Lavo PT, DPT are for informational purposes only.