Individual
MR. SHANE M. GIBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
7485 MISSION VALLEY RD, SUITE 104 A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 398-4989
Mailing address
7485 MISSION VALLEY RD, SUITE 104 A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 398-4989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6171
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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