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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467574681 | NPPES |
| New Jersey | Other | 40QA00670800 | PT LICENSE |
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