MRS. Stacy Lynn Dibble

NPI #1053749762 in Corfu, New York

Provider Information

NPI Number: 1053749762
Entity Type: Individual
Name: MRS. Stacy Lynn Dibble
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 16, 2013
Last Updated: Oct 16, 2013

Practice Location

Address: 1051 GABBEY RD
City: Corfu
State: New York
ZIP Code: 14036-9788
Phone: (585) 356-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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