Individual
ALLISON HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
3410 RHINELAND AVE, RM 108, FORT WAINWRIGHT, AK 99703
(907) 353-5871
Mailing address
630 URSA MAJOR DR, NORTH POLE, AK 99705-5080
(907) 371-8621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2786
AK
Other
Enumeration date
04/08/2014
Last updated
03/25/2015
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