Individual
KEITH HUBBARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3549 ALAFAYA PALMS DR UNIT 106, ORLANDO, FL 32828-7852
(904) 707-2444
Mailing address
3549 ALAFAYA PALMS DR UNIT 106, ORLANDO, FL 32828-7852
(904) 707-2444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-18260
FL
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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