Provider Demographics
NPI:1326114703
Name:LABELL & ASSOCIATES PHYSICAL THERAPY
Entity Type:Organization
Organization Name:LABELL & ASSOCIATES PHYSICAL THERAPY
Other - Org Name:AGILE NORTH PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CSCS
Authorized Official - Phone:617-821-4315
Mailing Address - Street 1:9 PATTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:S HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982
Mailing Address - Country:US
Mailing Address - Phone:978-317-4544
Mailing Address - Fax:
Practice Address - Street 1:139 MAPLE ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2060
Practice Address - Country:US
Practice Address - Phone:978-777-9700
Practice Address - Fax:978-777-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty