Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Tubongbanua, PT

Individual provider Physical Therapist · NPI 1073259396

Daniel Tubongbanua, PT is a Physical Therapist in Shreveport, Louisiana. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1082147 (TX)

Record details

NPI number1073259396
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

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