Individual
CHARLES MCKIE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
151 FLY CREEK AVE, STE 438, FAIRHOPE, AL 36532-8307
(251) 928-9619
(251) 928-9621
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8095
AL
Other
Enumeration date
05/10/2016
Last updated
08/02/2016
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