Provider Demographics
NPI:1629489240
Name:LEVITT, CARA
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:LEVITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S WASHINGTON BLVD
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-6904
Mailing Address - Country:US
Mailing Address - Phone:941-957-8130
Mailing Address - Fax:
Practice Address - Street 1:200 S WASHINGTON BLVD
Practice Address - Street 2:SUITE 4A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6904
Practice Address - Country:US
Practice Address - Phone:941-957-8130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist