Individual
KERSTIN M SOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 CAREW ST, SPRINGFIELD, MA 01104
(413) 787-2051
(413) 787-2054
Mailing address
516 CAREW ST, SPRINGFIELD, MA 01104-2330
(413) 787-2051
(413) 787-2054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
275036
MA
2081P0010X
Pediatric Rehabilitation Medicine Physician
01061959
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200816380
—
IN
05
—
2995102
—
OH
Enumeration date
06/30/2006
Last updated
07/10/2018
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