Shawn Tiffin Hubbard, MPT
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1437346830
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1437346830
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawn Tiffin Hubbard
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2007
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT21049 | FL | Yes |
| 2251N0400X | Physical Therapist, Neurology | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – |
Practice location
10660 Old Saint Augustine Rd Ste PtJacksonville, FL 32257-1076
Phone 904-619-5831 · Fax 866-225-4350
Mailing address
Po Box 1975Rome, GA 30162-1975
Phone 904-619-5831 · Fax 866-225-4350
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