Individual
MISS BETHANY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15160 FOLIAGE AVE STE 170, APPLE VALLEY, MN 55124-5916
(952) 683-1745
(952) 683-1746
Mailing address
15160 FOLIAGE AVE STE 170, APPLE VALLEY, MN 55124-5916
(952) 683-1745
(952) 683-1746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9524
MN
2251P0200X
Pediatric Physical Therapist
11563-024
WI
Other
Enumeration date
02/21/2011
Last updated
01/20/2020
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