MRS. Nicole Jane Lebaron, PTA

NPI #1700224243 in Romulus, Michigan

Provider Information

NPI Number: 1700224243
Entity Type: Individual
Name: MRS. Nicole Jane Lebaron, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 10909 HANNAN RD
City: Romulus
State: Michigan
ZIP Code: 48174-1383
Phone: (734) 893-1033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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