Individual
MATTHEW HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4420 37TH AVE S, FARGO, ND 58104-3400
(701) 365-4771
Mailing address
4420 37TH AVE S, FARGO, ND 58104-3400
(701) 365-4771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1552
ND
2251G0304X
Geriatric Physical Therapist
1552
ND
2251N0400X
Neurology Physical Therapist
1552
ND
2251X0800X
Orthopedic Physical Therapist
1552
ND
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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