Individual
MS. CAROLYN GAYLE DIBELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2579 JOHN MILTON DR, SUITE 120, HERNDON, VA 20171-2563
(703) 860-2346
(703) 860-2348
Mailing address
4128 DOVEVILLE LN, FAIRFAX, VA 22032-1446
(571) 235-1613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601947
VA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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