Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA0479500 | NJ |
NPI | 1619115482 |
---|---|
Provider Name | Annette C Labarbiera |
First Address | Saddle River, NJ 07458-2635 |
Second Address | Saddle River, NJ 07458-2635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2009 |
Last Update Date | 15/09/2009 |