| Doctor Name: | SAMANTHA L. GUBKA |
| NPI Number: | 1023104130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, OCS, CCCE |
| License Number: | PT00010284 |
| Business Practice Address: | 7308 Bridgeport Way W Suite 103 Lakewood, WA - 984998000 |
| Business Phone Number: | 2535828142 |
| Business Fax Number: | 2535828160 |
| Mailing Address: | 4040 Orchard St W, Suite 100 FIRCREST |
| State: | WA |
| Postal Code: | 984666606 |
| Phone Number: | 2535641560 |
| Fax Number: | 2535644449 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00010284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |