Healthcare Provider Details

I. General information

NPI: 1932206927
Provider Name (Legal Business Name): KATHRYN C LABBE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10017 JEFFERSON HWY SUITE 102
RIVER RIDGE LA
70123-2471
US

IV. Provider business mailing address

663 DODGE AVE
JEFFERSON LA
70121-1209
US

V. Phone/Fax

Practice location:
  • Phone: 504-818-2300
  • Fax: 504-818-0022
Mailing address:
  • Phone: 504-818-2300
  • Fax: 504-818-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number03224
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: