IndividualActive
Rand Chubin
NPI 1528433299 · Gerontology Occupational Therapist · Antigo, WI
Provider details
- NPI number
- 1528433299
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5724-26 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
729 Park St
Antigo, WI 54409-2745
Phone: (715) 623-2356
Fax: (715) 623-6653
Approximate (ZIP-level) locationGet directions
Mailing address
W6593 E Midway Rd Apt 34
Appleton, WI 54915-4857
Registry dates
- Enumerated
- 2015-12-07
- Last updated
- 2023-04-05
- Certified
- 2023-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.