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Individual

GABRIELLE KUBICEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217479
TX

Other

Enumeration date
07/29/2022
Last updated
08/02/2022
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