Individual
TONYA BIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
203 7TH ST, WINDBER, PA 15963-1340
(814) 241-8140
Mailing address
203 7TH ST, WINDBER, PA 15963-1340
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT024975
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225100000X
—
PA
Enumeration date
03/28/2016
Last updated
03/28/2016
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