| NPI | 1609404060 |
|---|---|
| Former Name | ANDREA L. KUBICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301512679) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 12404272-1205) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-10-10 |