Provider Demographics
NPI:1063841054
Name:HUBBS, REBECCA (R EEG T)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HUBBS
Suffix:
Gender:F
Credentials:R EEG T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1031
Mailing Address - Country:US
Mailing Address - Phone:760-219-0228
Mailing Address - Fax:760-636-1740
Practice Address - Street 1:428 S SIERRA MADRE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2166
Practice Address - Country:US
Practice Address - Phone:760-219-0228
Practice Address - Fax:760-636-1740
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic