Individual
MRS. KIMBERLY M LEBOEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18013 TIMBERVIEW DR, PRAIRIEVILLE, LA 70769-3379
(225) 205-0045
Mailing address
18013 TIMBERVIEW DR, PRAIRIEVILLE, LA 70769-3379
(225) 205-0045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03693
LA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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