Provider Demographics
NPI:1902442510
Name:ZUBICKI, KATHRYN R (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:R
Last Name:ZUBICKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3547
Mailing Address - Country:US
Mailing Address - Phone:551-200-1036
Mailing Address - Fax:
Practice Address - Street 1:25 GREENBROOK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-3890
Practice Address - Country:US
Practice Address - Phone:973-403-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist