Individual
JOHN G LEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12380 SW 82ND AVE, MIAMI, FL 33156-5223
(786) 242-5710
Mailing address
12380 SW 82ND AVE, MIAMI, FL 33156-5223
(786) 242-5710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12845
FL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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