Provider Demographics
NPI:1235920935
Name:LEBOUEF, CHRISTINE ANN (OTR)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:LEBOUEF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7914 MEADOW BEND CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-6702
Mailing Address - Country:US
Mailing Address - Phone:317-439-9236
Mailing Address - Fax:317-439-9236
Practice Address - Street 1:1311 N SHADELAND AVE UNIT E-J
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3660
Practice Address - Country:US
Practice Address - Phone:317-352-0093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000625A225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand