Individual
BRIAN KOBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
823 PARK EAST BLVD STE B, LAFAYETTE, IN 47905-0811
(765) 297-0975
Mailing address
823 PARK EAST BLVD STE B, LAFAYETTE, IN 47905-0811
(765) 297-0975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015190A
IN
Other
Enumeration date
08/15/2023
Last updated
08/16/2023
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