Doctor Name: | REBECCA HUBBS |
NPI Number: | 1063841054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R. EEG T. |
License Number: | |
Business Practice Address: | 428 S Sierra Madre Palm Desert, CA - 922602166 |
Business Phone Number: | 7602190228 |
Business Fax Number: | 7606361740 |
Mailing Address: | Po Box 1031, RANCHO MIRAGE |
State: | CA |
Postal Code: | 922701031 |
Phone Number: | 7602190228 |
Fax Number: | 7606361740 |
NPI Enumeration Date: | 11/11/2013 |
NPI Last Update Date: | 11/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |