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Individual
TREY J KUBIZNA
Active
Individual
TREY J KUBIZNA
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
5501012424
MI
225100000X
Physical Therapist
6946
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D116680
BCBS PROVIDER NUMBER
MI
Enumeration date
01/13/2006
Last updated
04/22/2008
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