MR. James Michael Dibauda, OTRL

NPI #1356335293 in Lagrange, Georgia

Provider Information

NPI Number
1356335293
Entity Type
Individual
Name
MR. James Michael Dibauda, OTRL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTRL
Enumeration Date
Sep 7, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
202 VILLAGE DR
State
Georgia
ZIP Code
30240-8831
Phone
(706) 884-6403

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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