Individual provider · Type 1 NPI

Carolyn Gayle Dibella, PTA

Physical Therapy Assistant · Herndon, VA

NPI number 1346458494 Active

Practice location

2579 John Milton Dr, Suite 120
Herndon, VA 20171-2563

Call (703) 860-2346 Map

Fax (703) 860-2348

Mailing address

4128 Doveville Ln
Fairfax, VA 22032-1446

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306601947 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1346458494

Carolyn Gayle Dibella, PTA's National Provider Identifier is 1346458494, issued on May 21, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Herndon, VA. The record was last updated on Jul 8, 2007.