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Individual

HEATHER ANN LEBLANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5515 GLEN LAKES DR, DALLAS, TX 75231
(214) 396-4463
(214) 361-4099
Mailing address
10629 LAKEMERE DR, DALLAS, TX 75238-2810

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212745
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212745
OCCUPATIONAL THERAPY ASSISTANT
NC
Enumeration date
11/01/2018
Last updated
11/01/2018
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