License holder summary

STACEY DIBIASO CAVISTON is a Temporary Physical Therapist licensed to practice in Pennsylvania. The address on file for STACEY DIBIASO CAVISTON is Sewell NJ 08080. This licensed professional license is not current. The license was granted 09/20/2002 and expired on 03/20/2003.

Pennsylvania

Department of State

STACEY DIBIASO CAVISTON
Temporary Physical Therapist
License number
TPT019491
Date granted
09/20/2002
Date expires
03/20/2003
Class
Temporary Physical Therapist
Status
Voided
Address
Sewell NJ 08080
palicensing.org
ID 17331386
LAST UPDATED 2024-04-09 00:59:51 UTC

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