Individual
SABRINA DISIBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4102 OGLETOWN STANTON RD, NEWARK, DE 19713-4169
(302) 894-1800
(302) 894-1811
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002026
DE
225100000X
Physical Therapist
PT017730
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11523734
CAQH
—
05
—
1285617266
—
DE
01
—
221629692
CHAMPUS
—
01
—
280697000
IBC AMERIHEALTH
—
Enumeration date
11/23/2005
Last updated
03/21/2013
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