Individual
MRS. LATECIA RENEE HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
503 MEADOW DR, WEST, TX 76691-1018
(254) 826-5354
Mailing address
813 DICKENS DR, WACO, TX 76710-5707
(254) 640-5577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088990
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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