Individual provider · Type 1 NPI

Jordan William Kubicki

Rehabilitation Practitioner · Pasadena, CA

NPI number 1124681556 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Call (626) 798-6793 Map

Mailing address

1109 College View Dr Apt 3
Monterey Park, CA 91754-6244

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1124681556

Jordan William Kubicki's National Provider Identifier is 1124681556, issued on Apr 22, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Apr 22, 2019.