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Organization
HOWARD & TIBBETTS PHYSICAL THERAPY, INC.
Active
Organization
HOWARD & TIBBETTS PHYSICAL THERAPY, INC.
Active
Other names
Valley Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL DENISE TIBBETTS P.T. (OWNER)
(831) 438-4478
Entity
Organization
Contact information
Practice address
13350 WEST PARK AVE, STE A2, BOULDER CREEK, CA 95006
(831) 338-4458
Mailing address
4615 SCOTTS VALLEY DR, SUITE D, SCOTTS VALLEY, CA 95066-4278
(831) 438-4478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ60815ZZ
BLUE SHIELD ID #
CA
Enumeration date
05/31/2005
Last updated
04/03/2009
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