Provider Demographics
NPI:1942459854
Name:HUBBARD, REBECCA L (MSPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1738
Mailing Address - Country:US
Mailing Address - Phone:508-278-4426
Mailing Address - Fax:508-278-2251
Practice Address - Street 1:58 MAIN ST
Practice Address - Street 2:STE 1
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-1507
Practice Address - Country:US
Practice Address - Phone:508-434-2451
Practice Address - Fax:508-434-2022
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15248225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist