person
John M. Dibacco, PT
Specialist in Elkins, West Virginia
NPI 1275536906

John M. Dibacco is a Specialist based in Elkins, WV. John M. Dibacco practices in Elkins, WV and has the professional credentials of PT. The NPI Number for John M. Dibacco is 1275536906 and holds a License No. 001857 (West Virginia).

The current practice location address for John M. Dibacco is 911 Gorman Ave, Elkins, WV and can be reached out via phone at 304-636-1548 and via fax at 304-636-1566.

Location: 911 Gorman Ave, Elkins, WV, 26241-3154
person
Provider Profile Details
NPI Number
1275536906
Provider Name
John M. Dibacco
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
911 Gorman Ave, Elkins, WV, 26241-3154
Phone Number
304-636-1548
Fax Number
304-636-1566
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0150180000 05 WV
institution
Provider Business Practice Location Address Details
Address
911 Gorman Ave
City
State
Zip
26241-3154
Phone Number
304-636-1548
Fax Number
304-636-1566
person
Provider Business Mailing Address Details
Address
911 Gorman Ave
City
State
Zip
26241-3154
Phone Number
304-636-1548
Fax Number
304-636-1566
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
001857 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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