Provider Demographics
NPI:1386956001
Name:BABINEAUX, VERONICA ALICIA (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:ALICIA
Last Name:BABINEAUX
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:ALICIA
Other - Last Name:RAUGITINANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:#1650 ELISSA DRIBAN & ASSOCIATES, LLC
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-986-9100
Mailing Address - Fax:301-986-9101
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:#1650 ELISSA DRIBAN & ASSOCIATES, LLC
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-986-9100
Practice Address - Fax:301-986-9101
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23303225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist