Individual
ANN MARIE LEBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
612 HOLY TRINITY DR, COVINGTON, LA 70433-6229
(985) 643-5630
Mailing address
17157 KAYLA DR, PONCHATOULA, LA 70454-8523
(225) 763-1057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
328136
LA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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