Individual
TINA ANN LABATUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7183 DONALDSON DR, GONZALES, LA 70737-8132
(225) 644-0166
(225) 644-4459
Mailing address
7183 DONALDSON DR, GONZALES, LA 70737-8132
(225) 644-0166
(225) 644-4459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01590
LA
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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