Dibease, Tracy Lee

Dibease, Tracy Lee is an sole proprietor health care provider with primary practice located at 13 Hazel Ave , Voorhees NJ 08043-3423. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dibease, Tracy Lee can be contacted via phone (609) 929-9600.

Contact Information

Primary practice address
13 Hazel Ave Voorhees NJ 08043-3423
Phone: (609) 929-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00670800 New Jersey

Profile Details

NPI number 1467574681
LBN Legal business name Dibease, Tracy Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Apr 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467574681 NPPES
New Jersey Other 40QA00670800 PT LICENSE

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