Individual
LINDA KUBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9935 RED ARROW HWY, BRIDGMAN, MI 49106-9002
(269) 465-3017
Mailing address
11098 LANDON RD, BARODA, MI 49101-8902
(269) 921-1088
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201004173
MI
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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