Individual
DESIRAE ANNE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7041
(207) 795-0111
Mailing address
486 METHODIST RD, WESTBROOK, ME 04092-3207
(603) 703-5164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3729
ME
Other
Enumeration date
09/10/2019
Last updated
05/06/2025
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