Search › California › 225100000X
Maila Tibberts, P.T
NPI 1477887321 · on the registry since 2009 · sole proprietor
Practice
- Address
- 12113 Santa Monica Blvd
Suite 203
Los Angeles, CA 90025 - Phone
- (310) 309-3721
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California