| Doctor Name: | MS. COLYNN ANNE LABERGE |
| NPI Number: | 1003947987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 20796 |
| Business Practice Address: | 2304 E Churchville Rd Bel Air, MD - 210151721 |
| Business Phone Number: | 4107346556 |
| Business Fax Number: | 4107346557 |
| Mailing Address: | Po Box 179, FOREST HILL |
| State: | MD |
| Postal Code: | 210500179 |
| Phone Number: | 4108389600 |
| Fax Number: | 4108382511 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 20796 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |