Provider Demographics
NPI:1447525993
Name:LABARBERA, JACQUELINE (DPT)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:LABARBERA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3207
Mailing Address - Country:US
Mailing Address - Phone:347-215-4528
Mailing Address - Fax:
Practice Address - Street 1:109 BAY 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4511
Practice Address - Country:US
Practice Address - Phone:347-215-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics