Individual
ERIN E HUBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
7241 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 450-9400
Mailing address
1836 209TH CT NE, EAST BETHEL, MN 55011-9746
(763) 226-0864
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
107050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107050
MN DEPARTMENT OF HEALTH
MN
01
—
485938
NBCOT
—
Enumeration date
02/14/2023
Last updated
02/20/2024
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