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NPI Code Detail

MEDICARE: CAROLINE STIBLEY

MEDICARE: CAROLINE STIBLEY
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 Therapist011518OH

General Provider Information

NPI Number : 1780706408
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE STIBLEY
Provider Business Mailing Address
First Line : 3715 MEADOW GTWY
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 HERITAGE WOODS DR
Second Line :
City : COPLEY
State : OH
Zip : 44321-1398
Country : US
Telephone Number : 330-666-0980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ CAROLINE STIBLEY ” Practice Location

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