Individual
JAYE CLABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
301 N FAIRFAX ST, SUITE 106, ALEXANDRIA, VA 22314-2635
(703) 836-1083
Mailing address
301 N FAIRFAX ST, SUITE 106, ALEXANDRIA, VA 22314-2635
(703) 836-1083
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305001943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270929
MAMSI
VA
Enumeration date
05/01/2007
Last updated
07/08/2007
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