Individual
LEE C LEVANDUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11014 4TH AVE E, BRADENTON, FL 34212-1615
(941) 708-9555
(941) 708-5465
Mailing address
11014 4TH AVE E, BRADENTON, FL 34212-1615
(941) 708-9555
(941) 708-5465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT17949
FL
2251S0007X
Sports Physical Therapist
PT17949
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT17949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT17949
STATE LICENSE
FL
Enumeration date
03/19/2007
Last updated
11/16/2010
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