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Individual

MR. NICHOLAS ADAM HUBARTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1507 E CRANE POND DR, MARION, IN 46952-9524
(765) 603-1916

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001691A
IN

Other

Enumeration date
10/31/2017
Last updated
10/31/2017
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