Individual
MELISSA HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
(317) 791-9031
(317) 791-9001
Mailing address
3866 STONEMEADOW DR, GREENWOOD, IN 46142-9440
(317) 341-1479
(317) 791-9001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100462120
—
IN
Enumeration date
03/23/2007
Last updated
09/17/2019
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