Individual
MR. MATTHEW LEBLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
1005 N HICKORY RD, SOUTH BEND, IN 46615-3723
(574) 233-5754
(574) 233-7406
Mailing address
1005 N HICKORY RD, SOUTH BEND, IN 46615-3723
(574) 233-5754
(574) 233-7406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010823A
IN
Other
Enumeration date
10/12/2012
Last updated
05/10/2013
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