Individual
MAIYANNIE NECOE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4314 S WABASH AVE, CHICAGO, IL 60653-3119
(773) 217-4840
Mailing address
6749 JOSEPH AVE, PORTAGE, IN 46368-2696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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