Individual
ANDREA LUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
OR 60066
OR
225100000X
Physical Therapist
PHYP2217
AK
225100000X
Physical Therapist
Primary
PT60205685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962788653
—
OR
Enumeration date
10/26/2011
Last updated
12/20/2016
Update your record
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