Individual
MRS. ELLEN MARIE KUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23900 KATY FWY, KATY, TX 77494-1323
(281) 644-7000
Mailing address
19611 EMERALD LEAF DR, HOUSTON, TX 77094-2908
(281) 398-8834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1026615
TX
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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