Individual
ADRIENNE MARIE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
756 RIVER STREET, SPRING LAKE, MI 49456-1951
(616) 402-6226
Mailing address
756 RIVER ST, SPRING LAKE, MI 49456-1951
(616) 402-6226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATI
MI
Enumeration date
01/08/2007
Last updated
07/08/2007
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