Individual
MICAH DIANE HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7636 E AVALON DR, SCOTTSDALE, AZ 85251-6503
(505) 514-3701
Mailing address
7636 E AVALON DR, SCOTTSDALE, AZ 85251-6503
(505) 514-3701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8566
AZ
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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