Individual
MRS. AMY E LABADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
227 WADSWORTH DR, NORTH CHESTERFIELD, VA 23236-4510
(804) 323-7874
(804) 323-7879
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255410494
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
01
—
P00761605
RR MEDICARE
VA
Enumeration date
11/06/2006
Last updated
04/19/2018
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