Brett Oliver Leblanc, ATP
Technician, Other in Humble, TX. Individual provider (NPI-1).
NPI number1104695402
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1104695402
- Entity type
- Individual (NPI-1)
- Name
- Brett Oliver Leblanc
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 96757 | TX | Yes |
| 225CA2500X | Rehabilitation Counselor, Assistive Technology Supplier | 96757 | TX |
Practice location
2111 Fm 1960 Rd EHumble, TX 77338-5229
Phone 832-419-3261
Mailing address
20615 White Berry CtHumble, TX 77346-1340
Phone 832-419-3261
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