Shantal Tagalog Tubalado
Shantal Tagalog Tubalado is a Physical Therapist in Private Practice in Elizabeth, New Jersey. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
9 Hbr Frnt CTElizabeth, NJ 07206-1951
Phone: (848) 236-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 050083 (NY) |
|---|
Record details
| NPI number | 1528836038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 13, 2023 |
| Last updated in NPPES | December 13, 2023 |
| Certification date | September 27, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Elizabeth
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Hands on Healing Rehab, LLC
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Hands on Therapy PA
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