Individual
AMANDA HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
13828 59TH AVE, FLUSHING, NY 11355-5247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3896
CT
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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