Individual
CLINTON HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT, CHT
Contact information
Practice address
820 S MCCLELLAN ST STE 118, SPOKANE, WA 99204-2446
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00004122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8436883
—
WA
Enumeration date
10/26/2005
Last updated
01/09/2023
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