Individual
TAMIKA SHAVONNE HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
429 JOHN F KENNEDY WAY STE 236, WILLINGBORO, NJ 08046-2118
(609) 871-4442
Mailing address
3 MAYNARD DR, SICKLERVILLE, NJ 08081-2303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00703900
NJ
225X00000X
Occupational Therapist
OC013367
PA
Other
Enumeration date
07/07/2014
Last updated
06/11/2022
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