Provider Demographics
NPI:1891850871
Name:LEFKOF, MARSHA BETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:BETH
Last Name:LEFKOF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARSHA
Other - Middle Name:BETH
Other - Last Name:COPANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:7130 CAMPBELL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1571
Mailing Address - Country:US
Mailing Address - Phone:972-480-9455
Mailing Address - Fax:972-480-9867
Practice Address - Street 1:7130 CAMPBELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-1571
Practice Address - Country:US
Practice Address - Phone:972-480-9455
Practice Address - Fax:972-480-9867
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1081438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist