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Individual
DR. SHELLY LEBENSON
Active
Individual
DR. SHELLY LEBENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT024215
LICENSE
PA
Enumeration date
02/01/2015
Last updated
04/24/2019
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