Provider Demographics
NPI:1205961653
Name:BABBITT, ALANDA A (PT)
Entity type:Individual
Prefix:MRS
First Name:ALANDA
Middle Name:A
Last Name:BABBITT
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:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:12545-0104
Mailing Address - Country:US
Mailing Address - Phone:845-677-8335
Mailing Address - Fax:
Practice Address - Street 1:50 HOSPITAL HILL ROAD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:CT
Practice Address - Zip Code:06069-0104
Practice Address - Country:US
Practice Address - Phone:845-677-8335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004895225100000X
NY013944225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist