Individual
BLAIR RENEE LEBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5427
Mailing address
7928 E PLAZA AVE, SCOTTSDALE, AZ 85250-7650
(507) 884-9668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32586
AZ
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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