| Doctor Name: | ANGELA RENEE DIEBAL |
| NPI Number: | 1235296112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, DSC, OCS, SCS |
| License Number: | 2002023324 |
| Business Practice Address: | 9300 Dewitt Loop Fort Belvoir Community Hospital Fort Belvoir, VA - 22060 |
| Business Phone Number: | 5712312317 |
| Business Fax Number: | |
| Mailing Address: | 5964 Grand Pavilion Way Apt 214, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223032270 |
| Phone Number: | 5739907000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2002023324 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |