Individual
BRADLEY MICHAEL LEBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,OTR
Contact information
Practice address
600 PLAZA CT, EAST STROUDSBURG, PA 18301-8263
(570) 517-0511
(570) 421-7091
Mailing address
600 PLAZA CT, EAST STROUDSBURG, PA 18301-8263
(570) 517-0511
(570) 421-7091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00012800
NJ
225X00000X
Occupational Therapist
Primary
OC006615L
PA
Other
Enumeration date
03/30/2007
Last updated
04/27/2022
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