| NPI | 1598785107 |
|---|---|
| Former Legal Business Name | JOHN M. DIBLASIO DBA PROSPECT REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL DIBLASIO Physical Therapist/Owner 802-362-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003139) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-06-16 |