Individual
DR. KURT KINKAIDE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1 UNIVERSITY BLVD, ST AUGUSTINE, FL 32086-5799
(904) 826-0084
Mailing address
1309 PADOLA RD, ST AUGUSTINE, FL 32092-0490
(904) 940-1308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122568
FL
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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