Healthcare Provider Details

I. General information

NPI: 1477677755
Provider Name (Legal Business Name): MARGARET M LEBLANC PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 INDIAN CREEK BLVD W
VERO BEACH FL
32966-1331
US

IV. Provider business mailing address

1295 HOMETOWN DR
VERO BEACH FL
32966-1243
US

V. Phone/Fax

Practice location:
  • Phone: 772-562-3534
  • Fax:
Mailing address:
  • Phone: 772-569-9052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT2700
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: