Individual
DARYL BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8380 CENTER DR STE E, LA MESA, CA 91942-2952
(619) 466-6077
Mailing address
8865 JORIS WAY, LA MESA, CA 91941-6614
(619) 609-3081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53617
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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