Individual
ELIZABETH KUBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Mailing address
4131 FREELAND AVE, PHILADELPHIA, PA 19128-3509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC014067
PA LICENSE BOARD
PA
Enumeration date
01/21/2016
Last updated
01/21/2016
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