Individual
ELIZABETH RAE TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
850 NW 86TH AVE APT 519, PLANTATION, FL 33324-1244
(783) 606-9021
Mailing address
850 NW 86TH AVE APT 519, PLANTATION, FL 33324-1244
(786) 606-9021
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT8772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882788500
—
FL
Enumeration date
08/12/2006
Last updated
02/17/2022
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