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NPI Code Detail

MEDICARE: KAREN LUBISCH PT

MEDICARE:   KAREN  LUBISCH  PT
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
1225100000XPhysical Therapist22907CA

General Provider Information

NPI Number : 1801303607
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LUBISCH PT
Provider Business Mailing Address
First Line : 1683 SAN BENITO ST
Second Line :
City : RICHMOND
State : CA
Zip : 94804-5326
Country : US
Telephone Number : 510-725-8458
Fax Number :
Provider Business Practice Location Address
First Line : 1683 SAN BENITO ST
Second Line :
City : RICHMOND
State : CA
Zip : 94804-5326
Country : US
Telephone Number : 510-725-8458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 01/03/2018

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Directions to “ KAREN LUBISCH PT” Practice Location

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