Autumn Lebank DPT

NPI 1417221979 - Physical Therapist - 225100000X

NPI Details
NPI 1417221979
Gender Female
Enumeration Date 03/01/2012
Last Updated 12/10/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
745 PRESIDENT ST
BROOKLYN NY, 11215-1303, US
Phone (503) 931-1946
Fax
Business Location
745 PRESIDENT ST
BROOKLYN NY, 11215-1303, US
Phone (503) 931-1946
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 033968
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According to our database, Ms. Autumn Lebank DPT NPI is 1417221979, taxonomy code is 225100000X and license number is 033968, license state is located at New York. Autumn Lebank DPT physically located at 745 President St, Brooklyn NY, 11215-1303. NPI Number Autumn Lebank DPT has the Individual type.

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1417221979 NPI number is provided on an as is basis without warranty of any kind. 1417221979 is maintained by the National Plan & Provider Enumeration System. The contents of Autumn Lebank DPT are for informational purposes only.