DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOIRA SIBBALUCA

Active Sole Proprietor

Physical Therapy Assistant · PERU, IL

Registration Details

NPI Number
1184030900
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2014 (11.824026408265 yrs)
Last Updated
Jul 2, 2014
License
070014061 (IL)
Sole Proprietor
Yes

Practice Information

Address
4231 PROGRESS BLVD
PERU, IL, 613541193
Browse IL providers · Browse ZIP 61354
Phone
8153265924
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PERU, IL

Name Credential NPI
MS. SONDRA L BLOCKI MSPT 1811963713
MR. TIMOTHY R SEMLOW PT 1457464562
MIDA N BAUTISTA-DITTMAR PT 1982714010
LUKE SMITH PT 1164572608
MR. DELINARD SIBBALUCA 1659499093
TRICIA MARIE COOK P.T. 1447371398
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.