# MR. FREDERICK L HOBUSCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366475337
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1078932401 | UT | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/03/2011

## 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 |