Individual
MS. JOAN CLAIRE KUBACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7225 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 236-2150
(763) 236-2155
Mailing address
7225 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 236-2150
(763) 236-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1498
MN
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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