Individual
VAN TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 N ROCK RD STE 213, WICHITA, KS 67226-1352
(316) 688-5511
(316) 688-1081
Mailing address
3450 N ROCK RD STE 213, WICHITA, KS 67226-1352
(316) 688-5511
(316) 688-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02554
KS
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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