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Individual

CRAIG MICHAEL DIBIASE

Active
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Individual

CRAIG MICHAEL DIBIASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

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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