Individual
MISS STEPHANIEMARIE L BIBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 AVENUE OF THE AMERICAS, NEW YORK, NY 10105-0302
(212) 981-1977
Mailing address
21213 GRACE AVE, CARSON, CA 90745-1331
(323) 532-5271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012419
NY
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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