Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 42032 | CA |
NPI | 1003214966 |
---|---|
Provider Name | Rubin Lever |
First Address | Long Beach, CA 90803-1502 |
Second Address | Long Beach, CA 90803-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2014 |
Last Update Date | 10/08/2016 |