Provider Demographics
NPI:1972720340
Name:KUBA, ELIZABETH J (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:J
Last Name:KUBA
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:1127 NIKKI VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4879
Mailing Address - Country:US
Mailing Address - Phone:813-571-7184
Mailing Address - Fax:813-654-4695
Practice Address - Street 1:13015 SUMMERFIELD SQUARE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7402
Practice Address - Country:US
Practice Address - Phone:813-879-8045
Practice Address - Fax:855-388-5356
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2017-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT208802251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic