Individual
RAND CHUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
(715) 623-6653
Mailing address
W6593 E MIDWAY RD APT 34, APPLETON, WI 54915-4857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5724-26
WI
225XG0600X
Gerontology Occupational Therapist
Primary
572426
WI
Other
Enumeration date
12/07/2015
Last updated
04/05/2023
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