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General NPI Number Information
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NPI Number | 1912152497
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Entity Type | Individual
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Provider Name | SUSAN A LABOVICH PT, ATC
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 720 E BROAD ST STE 102
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City | COLUMBUS
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State | OH
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Zip | 43215-3989
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Country | US
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Telephone | 614-224-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 630-296-2223
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Fax | 630-759-9510
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12023
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501012992
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020781
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License Number State | OH
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