Individual
ELIZABETH FRENCH LABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT092
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT092
MAINE STATE LICENSE
ME
Enumeration date
05/28/2013
Last updated
05/28/2013
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