NPI 1003949249

Marc D Levine, RPT

Practitioner Contractor Valencia, CA

Practice location

Address: 23356 Timberlane Dr, Valencia, CA 91354-1450
Phone: (661) 513-9317
Fax: (661) 513-9348

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence PT 16807 (CA)

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Registry record

NPI: 1003949249
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.