Individual
JUSTIN DELOS TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
720 RAYMOND DR, NAPERVILLE, IL 60563-9758
(630) 355-0220
Mailing address
1720 EMERALD POINTE CIR, PLAINFIELD, IL 60586-5906
(630) 476-0448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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