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NPI Code Detail

MEDICARE: DR. ASHLEY NICOLE SIBILA PT, DPT

MEDICARE:  DR. ASHLEY NICOLE SIBILA  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT016332OH

General Provider Information

NPI Number : 1366906984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY NICOLE SIBILA PT, DPT
Provider Business Mailing Address
First Line : 16360 CHURCH RD
Second Line :
City : DALTON
State : OH
Zip : 44618-9460
Country : US
Telephone Number : 330-936-6324
Fax Number :
Provider Business Practice Location Address
First Line : 5005 HIGBEE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2521
Country : US
Telephone Number : 330-936-6324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2019
Last Update Date : 01/28/2019

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Directions to “ DR. ASHLEY NICOLE SIBILA PT, DPT” Practice Location

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