Individual ProviderJoan Claire KubackiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7225 University Ave NE, Fridley, MN 55432-3134(763) 236-2150PECOS EnrollmentBased on the most recent information from CMS, provider Joan Claire Kubacki does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1982840575Provider TypeIndividualFull NameKubacki, Joan ClaireTitleMs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date1/2/2009Last Updated1/2/2009Contact InformationPractice LocationPractice Address7225 University Ave NE, Fridley, MN 55432-3134Phone(763) 236-2150Fax(763) 236-2155Mailing LocationMailing Address7225 University Ave NE, Fridley, MN 55432-3134Phone(763) 236-2150Fax(763) 236-2155Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1498Minnesota