Individual
MRS. KATHLEEN ANN HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
(815) 935-7069
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7514
(815) 935-7069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005732
IL
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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