Provider Demographics
NPI:1306486675
Name:LABAYEN, RAYMOND GOLPEO (OT/L)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:GOLPEO
Last Name:LABAYEN
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6212 CLAIRE DE LUNE CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5623
Mailing Address - Country:US
Mailing Address - Phone:727-967-5891
Mailing Address - Fax:
Practice Address - Street 1:6212 CLAIRE DE LUNE CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5623
Practice Address - Country:US
Practice Address - Phone:727-967-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist