Male or Other

Clarence Leboeuf

Physical Therapy Assistant in Bangor, ME(View on Map)

Full Name

Clarence Leboeuf

NPI Number

1821877093

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/26/2023

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

PA6434

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 741
335 STILLWATER AVE

City

Howland
Bangor

State

ME
ME

Postal Code

04448-0741
04401-3944

Country

US
US

Telephone Number

(508) 827-6880
(207) 947-1111

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2023

Provider Address

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