Individual
KAILEE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
(904) 725-8044
Mailing address
7723 JASPER AVE, JACKSONVILLE, FL 32211-7719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27097
FL
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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