Individual
MS. MARY ANN HIBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 ALDEN ST, PROVINCETOWN, MA 02657-1456
(978) 771-7343
Mailing address
100 ALDEN ST, PROVINCETOWN, MA 02657-1456
(978) 771-7343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11096
STATE
MA
Enumeration date
07/16/2009
Last updated
07/16/2009
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