Provider Demographics
NPI:1528360575
Name:LA BAUVE, CLAIRE (DPT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:LA BAUVE
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:PO BOX 11236
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87192-0236
Mailing Address - Country:US
Mailing Address - Phone:505-363-6017
Mailing Address - Fax:
Practice Address - Street 1:2516 VERMONT ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4638
Practice Address - Country:US
Practice Address - Phone:505-883-7518
Practice Address - Fax:505-883-8653
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPT4991225100000X
CA37166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist