Individual
MRS. LAURA LEIGH LABOITEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
580 NORTHERN AVE, HAGERSTOWN, MD 21742-2847
(301) 745-8915
(301) 745-8916
Mailing address
580 NORTHERN AVE, SUITE F, HAGERSTOWN, MD 21742-2847
(301) 745-8915
(301) 745-8916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412893100
—
MD
01
—
P00222631
MEDICARE RAILROAD
MD
Enumeration date
07/07/2006
Last updated
10/05/2011
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