Individual
DONALD TYLER PUBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13350 FRANKLIN FARM RD, HERNDON, VA 20171-4091
(703) 810-5204
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216270
VA
Other
Enumeration date
02/01/2024
Last updated
02/26/2024
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