Individual
ALYSSA SARAH TIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
160 C AVE, CORONADO, CA 92118-1420
(619) 658-5589
Mailing address
504 TURNSTONE LN, IMPERIAL BEACH, CA 91932-2159
(636) 577-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305210408
VA
225100000X
Physical Therapist
Primary
PT303006
CA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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