Individual
MR. DWIGHT DAVID HUBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 ACADEMY STRRET, PRESQUE ISLE, ME 04769
(207) 764-0145
Mailing address
136 BREWER RD, PRESQUE ISLE, ME 04769-5078
(434) 249-2229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4866
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4866
NURSING HOME
ME
Enumeration date
06/30/2017
Last updated
06/30/2017
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