Individual
COLETTE LEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21475 SNOWY ORCHID TER, LAND O LAKES, FL 34637-4704
(862) 703-1462
(813) 388-5787
Mailing address
21475 SNOWY ORCHID TER, LAND O LAKES, FL 34637-4704
(862) 703-1462
(813) 388-5787
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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