Individual
KYLE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
(337) 322-3524
Mailing address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508-2511
(337) 322-3524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04984
LA
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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