SearchNew Jersey261QP2000X

Shantal Tubalado

NPI 1528836038 · on the registry since 2023 · sole proprietor

Practice

Address
9 Harbor Front Ct
Elizabeth, NJ 07206
Phone
(848) 236-6636
Organisation at this address
Back To Action Physical Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-13

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 New Jersey