Individual
CRAIG MICHAEL DIBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Mailing address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21216
NC
225100000X
Physical Therapist
PT1017
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432470100
—
ME
Enumeration date
11/04/2009
Last updated
04/21/2023
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