Individual
JASON JOHN LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
812 EXCHANGE ST, MIDDLEBURY, VT 05753-1555
(802) 388-3991
(802) 388-3992
Mailing address
300 MAIN ST, VERGENNES, VT 05491-1035
(802) 877-6991
(802) 877-6993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003269
VT
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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