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Individual
TROY ALAN CRIBBINS
Active
Individual
TROY ALAN CRIBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC GROUP MAIN NPI
OR
01
—
161133
NBMC GROUP MEDICAID
OR
01
—
1900 WOODLAND DR
NBMC GROUP PRACTICE ADDRESS - COOS BAY
OR
01
—
930635514
NBMC GROUP TAX ID OR BILLING
OR
01
—
R0000WFBTV
NBMC GROUP MEDICARE
OR
Enumeration date
12/13/2005
Last updated
06/14/2011
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