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NPI Code Detail

MEDICARE: KATHLEEN ZUBOK DPT

MEDICARE: KATHLEEN ZUBOK DPT
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 Therapist5501018065MI

General Provider Information

NPI Number : 1831637719
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ZUBOK DPT
Provider Business Mailing Address
First Line : 33900 HARPER AVE
Second Line : STE 104
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-416-9100
Fax Number : 586-416-9103
Provider Business Practice Location Address
First Line : 5670 N TELEGRAPH RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3219
Country : US
Telephone Number : 313-633-9586
Fax Number : 313-633-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 02/07/2018

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Directions to “ KATHLEEN ZUBOK DPT” Practice Location

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