| NPI | 1003947987 |
|---|---|
| Former Name | COLYNN ANNE LABERGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20796) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 20796) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-08-13 |