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Individual

MRS. VICTORIA HUBBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
102 S FORREST AVE, LIBERTY, MO 64068-1908
(816) 492-5199
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6338

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-03767
KS
225200000X
Physical Therapy Assistant
Primary
2020034833
MO

Other

Enumeration date
12/12/2023
Last updated
10/22/2024
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