Individual
TESSA M HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2241
SD
225100000X
Physical Therapist
CP019246T
NE
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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