Doctor Name: | JAMES MICHAEL LEBLANC |
NPI Number: | 1144585456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 08382 |
Business Practice Address: | 1219 Church St Zachary, LA - 707912347 |
Business Phone Number: | 2256587751 |
Business Fax Number: | 2256587753 |
Mailing Address: | 1501 Kings Hwy, SHREVEPORT |
State: | LA |
Postal Code: | 711034228 |
Phone Number: | 3186757737 |
Fax Number: | 3188132981 |
NPI Enumeration Date: | 07/12/2012 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 08382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |