Individual
GRANT LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 235-8007
(337) 235-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11496
LA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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