Individual
MARCIA JEAN GUBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
811 S MAIN ST, RANDOLPH, NE 68771-1706
(402) 337-0444
Mailing address
811 S MAIN ST, RANDOLPH, NE 68771-1706
(402) 337-0444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
597
NE
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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