Individual
JENNIFER BARBARA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
S17W32494 US HIGHWAY 18, UNIT D, DELAFIELD, WI 53018-3366
(920) 217-6531
Mailing address
S17W32494 US HIGHWAY 18, UNIT D, DELAFIELD, WI 53018-3366
(920) 217-6531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
719-039
WI
Other
Enumeration date
04/18/2006
Last updated
04/28/2014
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