Individual
GARRETT LEVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 LEVICK ST, PHILADELPHIA, PA 19149-2928
(215) 537-4755
Mailing address
1804 FRANKFORD AVE, PHILADELPHIA, PA 19125-2403
(717) 926-1748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT029828
PA
Other
Enumeration date
09/16/2021
Last updated
09/21/2021
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