Individual
MR. DONALD MARC TIBBILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3760 CONVOY STREET, SUITE 204, SAN DIEGO, CA 92111
(858) 514-0375
(858) 514-0383
Mailing address
3760 CONVOY STREET, SUITE 204, SAN DIEGO, CA 92111
(858) 514-0375
(858) 514-0383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5528
CA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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