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Individual

ALICIA ELIZABETH HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1303 STARK AVE, COLUMBUS, GA 31906-2038
(706) 221-6461
Mailing address
1303 STARK AVE, COLUMBUS, GA 31906-2038
(706) 221-6461

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8108
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT8108
STATE
GA
Enumeration date
04/22/2008
Last updated
04/22/2008
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