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Individual

BRANDON L HUBERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
4214 FORTUNA CENTER PLZ, DUMFRIES, VA 22025-1515
(571) 402-2098
(571) 888-8048
Mailing address
4417 MISSION AVE APT H102, OCEANSIDE, CA 92057-6722
(712) 444-4107

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305217657
VA
225100000X
Physical Therapist
305565
CA
2255A2300X
Athletic Trainer

Other

Enumeration date
02/08/2024
Last updated
04/22/2026
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