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Individual

BENJAMIN LEUBITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
4081 N 37TH AVE, HOLLYWOOD, FL 33021-1926
(954) 243-7745
Mailing address
4081 N 37TH AVE, HOLLYWOOD, FL 33021-1926
(954) 243-7745

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 12605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT12605
STATE OF FLORIDA
FL
Enumeration date
01/19/2009
Last updated
01/19/2009
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