Individual
ABBY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08636
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385215YQA9
MEDICARE PTAN
—
Enumeration date
12/17/2014
Last updated
06/12/2023
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