Provider Demographics
NPI:1568418390
Name:LABELLA, SANDRA MARIA (PT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARIA
Last Name:LABELLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 DAVIS GROVE CIR STE 106
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519
Mailing Address - Country:US
Mailing Address - Phone:303-475-6252
Mailing Address - Fax:844-913-1900
Practice Address - Street 1:201 DAVIS GROVE CIRCLE
Practice Address - Street 2:SUITE 106
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519
Practice Address - Country:US
Practice Address - Phone:303-475-6252
Practice Address - Fax:844-913-1900
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0012994225100000X
NY017303-1225100000X
NCP19847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist