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Individual
MR. FREDERICK L HOBUSCH
Active
Individual
MR. FREDERICK L HOBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078932401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000733102
IHC
UT
01
—
1720
PEHP
UT
01
—
190100500
OWCP
UT
01
—
283376
DMBA
UT
01
—
3363451001
CIGNA
UT
01
—
42671
FIRST HEALTH
UT
01
—
6400182
UHC
UT
01
—
650014593
RAILROAD MEDICARE
UT
05
—
NO259
—
UT
01
—
QM0000076206
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
08/03/2011
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