Individual
MRS. JENNIFER MARIE DIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1798 OLD ROUTE 220 N, SUITE 103, DUNCANSVILLE, PA 16635-8341
(814) 696-3400
(814) 696-3402
Mailing address
210 MILL ST, WOODBURY, PA 16695-9432
(814) 766-2320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002703L
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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