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Individual
PROF. DAVID TIBERIO
Active
Individual
PROF. DAVID TIBERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002865
CT
225100000X
Physical Therapist
2272
MA
225100000X
Physical Therapist
PT01731
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002865
PHYSICAL THERAPY LICENSE
CT
01
—
2272
PHYSICAL THERAPY LICENSE
MA
01
—
PT01731
PHYSICAL THERAPY LICENSE
RI
Enumeration date
09/27/2006
Last updated
05/19/2022
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