MEDICARE: DANIEL KUBIER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1965	OK

General Provider Information

NPI Number	:	1093265829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL KUBIER OTR/L

Provider Business Mailing Address
First Line	:	2521 N ROBINSON AVE
Second Line	:	APT C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-4166
Country	:	US
Telephone Number	:	405-821-6403
Fax Number	:

Provider Business Practice Location Address
First Line	:	2521 N ROBINSON AVE
Second Line	:	APT C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-4166
Country	:	US
Telephone Number	:	405-821-6403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2016
Last Update Date	:	10/05/2016

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