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Individual
SHELLY ANN DIBIASE
Active
Individual
SHELLY ANN DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00006177
WA
225100000X
Physical Therapist
PT-653
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284484
L & I
WA
01
—
0284489
L & I
WA
01
—
0284518
L & I
WA
01
—
0284524
L & I
WA
Enumeration date
07/08/2009
Last updated
10/11/2019
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