Individual
MALLORY ELYSE LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
3013 VETERANS MEMORIAL DR STE 104, ABBEVILLE, LA 70510-4152
(337) 993-2766
(337) 993-2764
Mailing address
983A E LANCASTER AVE, DOWNINGTOWN, PA 19335-3328
(337) 993-2766
(337) 993-2764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10639
LA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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