Individual
MISS DIADHEN BERNARDO LOBUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1736 E MAIN ST, DOTHAN, AL 36301-3040
(334) 712-6333
Mailing address
105 CASTLE DR APT 74, DOTHAN, AL 36303-6555
(256) 585-8152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26564
MD
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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