Individual
HALEY FONTENOT LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4463 HWY 1 S STE D, PORT ALLEN, LA 70767-5990
(225) 749-8980
(225) 749-9096
Mailing address
6756 LANGLEY DR, BATON ROUGE, LA 70809-5178
(225) 749-8980
(225) 749-9096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10868
PT LICENSE
LA
Enumeration date
05/05/2021
Last updated
09/25/2023
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