Individual
ALICIA MARIE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
66 BROAD ST, WESTFIELD, MA 01085-2927
(413) 562-5464
Mailing address
98 CUSHMAN DR, MANCHESTER, CT 06042-2314
(860) 992-4299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1987
CT
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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