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Individual
SARA ELIZABETH TIBBETTS
Active
Individual
SARA ELIZABETH TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
294309
CA
225100000X
Physical Therapist
Primary
1298312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1298312
PHYSICAL THERAPIST
TX
Enumeration date
01/23/2018
Last updated
03/04/2025
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