Organization
PROSPECT REHABILITATION, PC
Active
Other names
John M. DiBlasio dba Prospect Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL DIBLASIO PT, DPT, MPT (PHYSICAL THERAPIST/OWNER)
(802) 362-1151
Entity
Organization
Contact information
Practice address
7254 MAIN STREET, MANCHESTER CENTER, VT 05255
(802) 362-1151
(802) 362-7046
Mailing address
PO BOX 1365, MANCHESTER CENTER, VT 05255
(802) 362-1151
(802) 362-7046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003139
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN3061
—
VT
Enumeration date
07/20/2006
Last updated
06/16/2022
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