Basic Information
| Provider Information | |||||||||
| NPI: | 1447260526 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEBENSFELD | ||||||||
| FirstName: | PEGGY | ||||||||
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| Credential: | OCC THERAPIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 SE MIZNER BLVD | ||||||||
| Address2: | APT. 110B | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5602514622 | ||||||||
| FaxNumber: | 8885526176 | ||||||||
| Practice Location | |||||||||
| Address1: | 6169 S JOG RD | ||||||||
| Address2: | STE A11 | ||||||||
| City: | LAKE WORTH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334676579 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5614320111 | ||||||||
| FaxNumber: | 5614321075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 04/13/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 3290 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | 11977 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.