Provider Demographics
NPI:1649000811
Name:LEBLANC, ABIGAIL MARGARET (PT, DPT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MARGARET
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CANTARA AVE
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-2622
Mailing Address - Country:US
Mailing Address - Phone:207-205-0353
Mailing Address - Fax:
Practice Address - Street 1:4 CASCADE RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-9000
Practice Address - Country:US
Practice Address - Phone:207-284-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6912225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist