Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT26142 | FL |
N | 2251E1200X | Ergonomics | PT26142 | FL |
N | 225XE1200X | Ergonomics | PT26142 | FL |
N | 2251N0400X | Physical Therapist - Neurology | PT26142 | FL |
N | 2251P0200X | Physical Therapist - Pediatrics | PT26142 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT26142 | FL |
NPI | 1033413158 |
---|---|
Provider Name | Dr. Blerim Dibra |
First Address | Minot, ND 58701-6304 |
Second Address | Minot, ND 58701-6304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2011 |
Last Update Date | 23/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003109600 | (05) | FL |