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NPI Code Detail

MEDICARE: MOLLY LEBLANC DPT

MEDICARE: MOLLY LEBLANC DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5630OK

General Provider Information

NPI Number : 1366001174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY LEBLANC DPT
Provider Business Mailing Address
First Line : 5819 HEFNER VILLAGE CIR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-7757
Country : US
Telephone Number : 775-857-7907
Fax Number :
Provider Business Practice Location Address
First Line : 7401 RIVERSIDE PKWY UNIT 219
Second Line :
City : TULSA
State : OK
Zip : 74136-5057
Country : US
Telephone Number : 918-216-9303
Fax Number : 539-202-5007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2019
Last Update Date : 03/19/2024

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Directions to “ MOLLY LEBLANC DPT” Practice Location

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