| Organization Name: | HUBBARD PHYSICAL THERAPY, LLC |
| NPI Number: | 1922405703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA HUBBARD (OWNER) |
| Mailing Address: | 58 Main St Sturbridge |
| State: | MA US |
| Postal Code: | 015661507 |
| Phone Number: | 5083477550 |
| Fax Number: | 5083477559 |
| NPI Enumeration Date: | 11/23/2014 |
| NPI Last Update Date: | 02/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 15248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |