Individual
ELIZABETH A HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
690 AMSTERDAM ST, DETROIT, MI 48202-3410
(313) 651-1910
Mailing address
1656 BENNINGTON CT, CANTON, MI 48188-1775
(734) 398-5569
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
03/17/2021
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