Individual
MS. DEBRA ANN LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
4917 PIKE DR, METAIRIE, LA 70003-2729
(504) 710-8665
Mailing address
4917 PIKE DR, METAIRIE, LA 70003-2729
(504) 710-8665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11258
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-19910-9
—
LA
Enumeration date
05/13/2007
Last updated
07/08/2007
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