Individual
MR. DAVID LEBEAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 AZ-89, PRESCOTT, AZ 86301
(928) 445-4860
Mailing address
7526 E AMBER RIDGE WAY, PRESCOTT VALLEY, AZ 86315-4004
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
MS
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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