Individual
KENNETH LLOYD LUBERGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16858 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-1673
(941) 585-7150
Mailing address
16858 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-1673
(941) 585-7150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23086
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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