Provider Demographics
NPI:1427239003
Name:LEJARDE, RONA MAE LABATETE (PT)
Entity type:Individual
Prefix:MISS
First Name:RONA MAE
Middle Name:LABATETE
Last Name:LEJARDE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11708 GUNNERS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-2703
Mailing Address - Country:US
Mailing Address - Phone:240-472-1651
Mailing Address - Fax:
Practice Address - Street 1:2700 BARKER ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1001
Practice Address - Country:US
Practice Address - Phone:301-565-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-24
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22069225100000X
DCPT870618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist