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Individual
MR. SHAUN C TUBBS
Active
Individual
MR. SHAUN C TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT8150
OH
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188065
—
OH
Enumeration date
06/09/2005
Last updated
10/14/2020
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