Organization
ADVANCED PHYSICAL THERAPY & BALANCE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J KUBIK P.T. (PHYSICAL THERAPIST/OWNER)
(253) 627-7012
Entity
Organization
Contact information
Practice address
1901 S UNION AVE, STE B7011, TACOMA, WA 98405-1807
(253) 627-7012
(253) 627-7014
Mailing address
1901 S UNION AVE, STE B7011, TACOMA, WA 98405-1807
(253) 627-7012
(253) 627-7014
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123797
—
WA
Enumeration date
05/24/2005
Last updated
08/22/2020
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