Individual
DR. CODY RAY LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
192 HIGHWAY 3226, DERIDDER, LA 70634-8915
(337) 375-1013
Mailing address
192 HIGHWAY 3226, DERIDDER, LA 70634-8915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08870R
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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