Provider Demographics
NPI:1306853056
Name:HUBLER, LAURIE KAY (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:KAY
Last Name:HUBLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:KAY
Other - Last Name:GILLILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1750 5TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2607
Mailing Address - Country:US
Mailing Address - Phone:717-747-8350
Mailing Address - Fax:717-718-3150
Practice Address - Street 1:1855 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-848-4800
Practice Address - Fax:717-718-3150
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist