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Individual
MR. ROBERT MAXIMILIAAN KAULBACH
Active
Individual
MR. ROBERT MAXIMILIAAN KAULBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721221
—
MA
01
—
Y68562
BCBS
MA
Enumeration date
02/07/2006
Last updated
02/22/2013
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