Individual
LISA MICHELLE DYBALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 W 80TH PL, MERRILLVILLE, IN 46410-5432
(219) 513-8311
Mailing address
2042 LAKEWOOD PL, CROWN POINT, IN 46307-9330
(708) 969-1138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006122A
IN
225200000X
Physical Therapy Assistant
160.008557
IL
Other
Enumeration date
08/11/2019
Last updated
07/11/2022
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