Individual
JUSTIN HIDEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2785 TIBBETTS WICK RD, HUBBARD, OH 44425
(330) 568-0525
Mailing address
2785 TIBBETTS WICK RD, HUBBARD, OH 44425-2714
(330) 568-0525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019564
OH
2255A2300X
Athletic Trainer
AT006004
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/11/2014
Last updated
01/03/2022
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