Rand Chubin
Occupational Therapist - Gerontology
729 Park St
Antigo
, Wisconsin 54409-2745
Rand Chubin
Occupational Therapist - Gerontology
729 Park St
Antigo
, Wisconsin 54409-2745
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Rand Chubin
- 729 Park St
- Antigo, WI
- Zip : 54409-2745
- Phone :
Second Address
- Rand Chubin
- 729 Park St
- Antigo, WI
- Zip : 54409-2745
- Fax : (715) 623-6653
- Phone : (715) 623-2356
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 572426 | WI |
National Provider Identifier
| NPI | 1528433299 |
|---|---|
| Provider Name | Rand Chubin |
| First Address | Antigo, WI 54409-2745 |
| Second Address | Antigo, WI 54409-2745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2015 |
| Last Update Date | 07/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.