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Individual

BARB M LEVELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2810 FRANK SCOTT PKWY W, STE. 824, BELLEVILLE, IL 62223-5007
(618) 234-9705
(618) 257-0665
Mailing address
2810 FRANK SCOTT PKWY W, STE. 824, BELLEVILLE, IL 62223-5007
(618) 234-9705
(618) 257-0665

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011007
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00931252
RR MEDICARE
IL
Enumeration date
03/29/2007
Last updated
07/08/2011
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