Provider Demographics
NPI:1043013840
Name:LAROSE, MADELINE MABRY (PT, DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:MABRY
Last Name:LAROSE
Suffix:
Gender:
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 NORTH LOOP
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-1043
Mailing Address - Country:US
Mailing Address - Phone:713-868-2766
Mailing Address - Fax:713-868-7575
Practice Address - Street 1:734 NORTH LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-1043
Practice Address - Country:US
Practice Address - Phone:713-868-2766
Practice Address - Fax:713-868-7575
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1348966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist