Individual
EUGENE TIBAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 LA CASA VIA STE 100, WALNUT CREEK, CA 94598-3000
(925) 935-4866
Mailing address
101 KINROSS DR APT 6, WALNUT CREEK, CA 94598-2133
(925) 849-7245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52574
CA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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