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Organization
PREMIER PERFORMANCE PHYSICAL THERAPY
Active
Organization
PREMIER PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CODY LEBLANC PT, DPT (OWNER/PHYSICAL THERAPIST)
(337) 202-7045
Entity
Organization
Contact information
Practice address
103 W GIBSON ST STE 102, JASPER, TX 75951-4974
(337) 202-7045
(337) 202-7047
Mailing address
19503 LAKE CHARLES HWY, DERIDDER, LA 70634-2313
(337) 202-7045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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