MAILA TIBBERTS

LOS ANGELES, CA
NPI1477887321
Former NameMAILA CASTRO ASISTIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 36737)
Additional Taxonomies225100000X Physical Therapist
(Licence: NY  031126-1)
Enumeration Date2009-09-24
Last Update Date2020-11-17
Business Address
MAILA TIBBERTS P.T.
12113 SANTA MONICA BLVD SUITE 203
LOS ANGELES, CA 90025-2581
Phone number: 310-309-3721
Mailing Address
MAILA TIBBERTS P.T.
4640 CANEEL BAY CT
OCEANSIDE, CA 92057-4223
Phone number: 109-566-1053