Individual
MR. ROBERT CARL LEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
75 MCMILLEN DR, NEWARK, OH 43055-1808
(740) 344-0357
(740) 344-0456
Mailing address
1610 ELM ST, COSHOCTON, OH 43812-2221
(740) 610-5373
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA-6947
OH
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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