National Provider Identifier
Stacy Lynn Dibble
Stacy Lynn Dibble is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Corfu, NY and a listed phone number of (585) 356-4494.
Profile Overview
- NPI
- 1053749762
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- October 16, 2013
- Last Updated
- October 16, 2013
Practice Location
- 1051 Gabbey RD
- Corfu, NY 14036-9788
Phone: (585) 356-4494
Specialties
- Physical Therapy Assistant (225200000X)
- Massage Therapist (225700000X)
Full Record
- NPI
- 1053749762
- Entity Type
- Individual
- Last Name
- Dibble
- First Name
- Stacy
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Mailing Street Address
- 1051 Gabbey RD
- Mailing City
- Corfu
- Mailing State
- NY
- Mailing ZIP Code
- 14036-9788
- Mailing Country
- US
- Mailing Phone
- (585) 356-4494
- Practice Street Address
- 1051 Gabbey RD
- Practice City
- Corfu
- Practice State
- NY
- Practice ZIP Code
- 14036-9788
- Practice Country
- US
- Practice Phone
- (585) 356-4494
- Enumeration Date
- October 16, 2013
- Last Updated
- October 16, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X), Massage Therapist (225700000X)