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Individual
JAY ANTHONY DIBACCO
Active
Individual
JAY ANTHONY DIBACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
66024
OR
225100000X
Physical Therapist
Primary
PT44176
FL
225100000X
Physical Therapist
PTL88631
MA
225100000X
Physical Therapist
—
CO
Other
Enumeration date
06/03/2025
Last updated
07/20/2026
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