Individual
MS. DANA ANN LE BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
(214) 245-5217
Mailing address
2862 MALLARD DR, GREENVILLE, TX 75402-4131
(619) 347-9968
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109779
TX
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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