Leventry, Timothy Lee Leventry

Leventry, Timothy Lee Leventry is an sole proprietor health care provider with primary practice located at 1397 Eisenhower Blvd Suite 304, Johnstown PA 15904-3262. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Leventry, Timothy Lee Leventry can be contacted via phone (814) 262-4236.

Contact Information

Primary practice address
1397 Eisenhower Blvd Suite 304 Johnstown PA 15904-3262
Phone: (814) 262-4236
Fax: (814) 262-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0C006168L Pennsylvania

Profile Details

NPI number 1477664753
LBN Legal business name Leventry, Timothy Lee Leventry
Credentials ORTL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Feb 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477664753 NPPES
Pennsylvania MEDICAID 1022150980001

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