Individual
MS. CONSTANCE S LEVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9139 RUTLEDGE AVE, BOCA RATON, FL 33434-5910
(914) 715-8253
Mailing address
9139 RUTLEDGE AVE, BOCA RATON, FL 33434-5910
(914) 715-8253
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811971600
—
FL
Enumeration date
05/30/2007
Last updated
06/23/2009
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