John M. Dibacco, PT

NPI #1275536906 in Elkins, West Virginia

Provider Information

NPI Number: 1275536906
Entity Type: Individual
Name: John M. Dibacco, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: PT
Enumeration Date: May 27, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 911 GORMAN AVE
Address 2: STE 103
City: Elkins
State: West Virginia
ZIP Code: 26241-3154
Phone: (304) 636-1548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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