Leblanc, Tara

Leblanc, Tara is an individual health care provider with primary practice located at 6401 Bluebonnet Blvd Suite 2192, Baton Rouge LA 70836-6401. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Leblanc, Tara can be contacted via phone (708) 352-6900.

Contact Information

Primary practice address
6401 Bluebonnet Blvd Suite 2192 Baton Rouge LA 70836-6401
Phone: (708) 352-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056008135 Illinois
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1615-648T Louisiana

Profile Details

NPI number 1568690402
LBN Legal business name Leblanc, Tara
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Sep 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568690402 NPPES
Illinois MEDICAID 056008135

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