Individual
ANGELA TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 W CHANSLOR WAY, BLYTHE, CA 92225-1246
(760) 922-8176
Mailing address
14026 VALLEY SPRINGS RD, POWAY, CA 92064-1445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38944
CA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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