Provider Demographics
NPI:1023446556
Name:LABAR, CRISTIAN ALISHA (OTR/L)
Entity type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:ALISHA
Last Name:LABAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CRISTIAN
Other - Middle Name:ALISHA
Other - Last Name:CIGLIUTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33900 HARPER AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-4258
Mailing Address - Country:US
Mailing Address - Phone:586-416-9100
Mailing Address - Fax:586-416-9103
Practice Address - Street 1:30100 TELEGRAPH RD
Practice Address - Street 2:STE 140
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4514
Practice Address - Country:US
Practice Address - Phone:248-385-0030
Practice Address - Fax:248-849-9980
Is Sole Proprietor?:No
Enumeration Date:2013-10-18
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008651225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist