Provider Demographics
NPI:1871765156
Name:GIABIA, JAMIE MELANIE PABON (PT)
Entity type:Individual
Prefix:MRS
First Name:JAMIE MELANIE
Middle Name:PABON
Last Name:GIABIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23B PAROUBEK ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1315
Mailing Address - Country:US
Mailing Address - Phone:973-234-0201
Mailing Address - Fax:
Practice Address - Street 1:23B PAROUBEK ST
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-1315
Practice Address - Country:US
Practice Address - Phone:973-234-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist