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Individual

MRS. PAMELA A HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11135 MANCHESTER RD, SAINT LOUIS, MO 63122-1253
(314) 822-4400
(314) 822-4111
Mailing address
11135 MANCHESTER RD, SAINT LOUIS, MO 63122-1253
(314) 822-4400
(314) 822-4111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104604
MO

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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