Individual
MELODY A DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W LYON DR, NEOSHO, MO 64850-9194
(615) 896-6400
Mailing address
1802 S PORTER AVE, JOPLIN, MO 64804-0472
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11696
MO
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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