Individual
NICOLE DIBELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 CALIFORNIA TRL, BROWNS MILLS, NJ 08015-5601
(609) 893-5202
Mailing address
306 CALIFORNIA TRL, BROWNS MILLS, NJ 08015-5601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00590600
NJ
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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