Individual
LISA MARY HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2525 FOX RUN PKWY STE 100, YANKTON, SD 57078-5370
(605) 260-0918
(605) 260-0912
Mailing address
2525 FOX RUN PKWY STE 100, YANKTON, SD 57078-5370
(605) 660-9862
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
0236
SD
2251N0400X
Neurology Physical Therapist
0236
SD
2251P0200X
Pediatric Physical Therapist
0236
SD
2251S0007X
Sports Physical Therapist
0236
SD
2251X0800X
Orthopedic Physical Therapist
Primary
0236
SD
Other
Enumeration date
07/15/2011
Last updated
09/28/2012
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