Provider Demographics
NPI:1477677755
Name:LEBLANC, MARGARET M (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 HOMETOWN DR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-1243
Mailing Address - Country:US
Mailing Address - Phone:772-569-9052
Mailing Address - Fax:
Practice Address - Street 1:2200 INDIAN CREEK BLVD W
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-1331
Practice Address - Country:US
Practice Address - Phone:772-562-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27002251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics