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Individual

ADALIA CUBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(614) 940-0280
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(614) 940-0280

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A5181
MD
225200000X
Physical Therapy Assistant
Primary
PTA000215
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11152675830
MD
Enumeration date
07/24/2019
Last updated
01/05/2024
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