Individual
ERIC KUBATZKE
Active
Individual
ERIC KUBATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007061
GA
225100000X
Physical Therapist
Primary
PT21231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00365041
RR MEDICARE
FL
Enumeration date
07/05/2005
Last updated
10/22/2007
Update your record
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