Individual
MR. FREDERICK L HOBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5547 S 4015 W, #7, TAYLORSVILLE, UT 84129-4429
(801) 967-6055
(801) 967-6934
Mailing address
5547 S 4015 W, #7, TAYLORSVILLE, UT 84129-4437
(801) 967-6055
(801) 967-6934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078932401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107000733102
IHC
UT
01
—
1720
PEHP
UT
01
—
190100500
OWCP
UT
01
—
283376
DMBA
UT
01
—
3363451001
CIGNA
UT
01
—
42671
FIRST HEALTH
UT
01
—
6400182
UHC
UT
01
—
650014593
RAILROAD MEDICARE
UT
05
—
NO259
—
UT
01
—
QM0000076206
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
08/03/2011
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