Individual
HILARY THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 BRISTOL ST N, SUITE #25, NEWPORT BEACH, CA 92660-8916
(949) 250-1112
Mailing address
1000 BRISTOL ST N, SUITE #25, NEWPORT BEACH, CA 92660-8916
(949) 250-1112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9045
CA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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