Individual
TRACI JO HUBBARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(860) 633-5572
Mailing address
6233 N M 52, OWOSSO, MI 48867-8819
(517) 780-6002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2006
Last updated
07/08/2007
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