Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY CLUBB, PT, DPT
Active Sole ProprietorBETHANY CLUBB, PT, DPT is a Physical Therapy Assistant healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1265206940 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1265206940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2023 (2.7466523813285 yrs)
- Last Updated
- Nov 13, 2023
- License
-
PT41084 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 ASHOURIAN AVE STE 105SAINT AUGUSTINE, FL, 320925106Browse FL providers · Browse ZIP 32092
- Phone
- 9042307761
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SAINT AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. HEMANT DASHARATHLAL PATEL | PT | 1326068586 |
| ANTHONY LANZILLOTTI | P.T. | 1851311229 |
| ERIC JAMES CHACONAS | DPT | 1962417675 |
| MR. JAMES ALAN VITI | PT | 1568479269 |
| MRS. KELLY ANN SIRAGUSA | P.T. | 1831204049 |
| MS. CYNTHIA LYONS | P.T., LMT | 1982705455 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.