Individual
KATIE LABONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
230 NW 20TH AVE APT 5, PORTLAND, OR 97209-1955
(207) 240-4345
Mailing address
230 NW 20TH AVE APT 5, PORTLAND, OR 97209-1955
(207) 240-4345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
278675
OR
225XP0200X
Pediatric Occupational Therapist
OT2472
ME
Other
Enumeration date
10/27/2010
Last updated
04/23/2020
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