Individual
MR. JOHN MICHAEL DIBLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MPT
Contact information
Practice address
7254 MAIN STREET, MANCHESTER CENTER, VT 05255
(802) 362-1151
(802) 362-7046
Mailing address
PO BOX 1365, MANCHESTER CENTER, VT 05255
(802) 362-1151
(802) 362-7046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003139
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2143
—
VT
Enumeration date
07/10/2006
Last updated
06/21/2022
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