Individual
CARL LEBOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 389-6270
Mailing address
180 TELFORD ST UNIT 410, BRIGHTON, MA 02135-0023
(401) 464-2838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL24231
STATE LICENSURE FOR PHYSICAL THERAPY
MA
Enumeration date
08/06/2018
Last updated
08/24/2025
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