Doctor Name: | MR. JOHN MICHAEL DIBLASIO |
NPI Number: | 1164456695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 0400003139 |
Business Practice Address: | 3511 Richville Road Manchester Center, VT - 05255 |
Business Phone Number: | 8023621151 |
Business Fax Number: | 8023527046 |
Mailing Address: | Po Box 1365, MANCHESTER CENTER |
State: | VT |
Postal Code: | 052551365 |
Phone Number: | 8023621151 |
Fax Number: | 8023627046 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0400003139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |