Individual
KATHARINE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 FOREST DR, SUITE 200, COLUMBIA, SC 29204-4010
(803) 227-8009
Mailing address
217 AMBERWOOD CIR, IRMO, SC 29063-7951
(803) 917-8336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2200
SC
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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