Individual
AMBER HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
511 WINDMILL STREET, WALNUT COVE, NC 27052
(336) 591-4353
Mailing address
7429 VALLEY MEADOWS DRIVE, FORT WAYNE, IN 46815
(260) 515-6997
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03569
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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