Individual
DOMINIQUE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
95 PUFFIN GLADE, BAYVILLE, NJ 08721-1387
(908) 377-6425
Mailing address
95 PUFFIN GLADE, BAYVILLE, NJ 08721-1387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00318900
NJ
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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