DR. Shelly Lebenson, DPT

NPI #1104216928 in Kingston, Pennsylvania

Provider Information

NPI Number: 1104216928
Entity Type: Individual
Name: DR. Shelly Lebenson, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 1, 2015
Last Updated: Apr 24, 2019

Practice Location

Address: 623 GIBSON AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-5319
Phone: (570) 817-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Skilled Nursing Facility	314000000X
Physical Therapist	225100000X	Primary

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