MS. Carolyn Gayle Dibella, PTA

NPI #1346458494 in Herndon, Virginia

Provider Information

NPI Number: 1346458494
Entity Type: Individual
Name: MS. Carolyn Gayle Dibella, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2579 JOHN MILTON DR
Address 2: SUITE 120
City: Herndon
State: Virginia
ZIP Code: 20171-2563
Phone: (703) 860-2346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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