Provider Demographics
NPI:1467720359
Name:HOBBS, GARY M (CRTT, RCP)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:M
Last Name:HOBBS
Suffix:
Gender:M
Credentials:CRTT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N BELFORT ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2925
Mailing Address - Country:US
Mailing Address - Phone:703-430-0507
Mailing Address - Fax:
Practice Address - Street 1:705 N BELFORT ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-2925
Practice Address - Country:US
Practice Address - Phone:703-430-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA000730227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified