Individual
KIMBERLY HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N ADELAIDE ST, NORMAL, IL 61761-2422
(309) 451-0393
Mailing address
550 W FRONTAGE RD, NORTHFIELD, IL 60093-1202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002783
IL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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