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1548228067 NPI number — TANYA MARIE-HELENE LABARRE MPT

NPI Number: 1548228067
Health Care Provider/Practitioner: TANYA MARIE-HELENE LABARRE MPT

Information about “1548228067” NPI (TANYA MARIE-HELENE LABARRE MPT) exists in 1548228067 in HTML format HTML  |  1548228067 in plain Text format TXT  |  1548228067 in PDF (Portable Document Format) PDF  |  1548228067 in an XML format XML  formats.

NPI Number : 1548228067 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548228067",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LABARRE",
    "FirstName": "TANYA",
    "MiddleName": "MARIE-HELENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARDILLO",
    "OtherFirstName": "TANYA",
    "OtherMiddleName": "MARIE-HELENE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4040 ORCHARD ST W",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "FIRCREST",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98466-6606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-564-1560",
    "MailingAddressFaxNumber": "253-564-4449",
    "FirstLinePracticeLocationAddress": "4060 WHEATON WAY",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "BREMERTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98310-3500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-479-8477",
    "PracticeLocationAddressFaxNumber": "360-479-8417",
    "EnumerationDate": "05/03/2006",
    "LastUpdateDate": "11/12/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT00007663",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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