Healthcare Provider Details

I. General information

NPI: 1265394803
Provider Name (Legal Business Name): ALANNA MARIE KUBIK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 STATE RD
PLYMOUTH MA
02360-5103
US

IV. Provider business mailing address

715 STATE RD
PLYMOUTH MA
02360-5103
US

V. Phone/Fax

Practice location:
  • Phone: 508-591-7215
  • Fax: 508-591-7537
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL88837
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: