Most Relevant Information
Provider Data
| NPI Number: | 1003571100 |
| Provider Name: | PHILLIP HUBER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | J2-0011478 |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 11/03/2021 |
Provider Practice Location
1255 S STATE ST
DOVER
DE
199016932
Practice Location Phone/Fax
| Phone: | 3027340100 |
| Fax: | 3027340101 |
Provider Mailing Location
1255 S STATE ST STE 7
DOVER
DE
199016932
Provider Mailing Phone/Fax
| Phone: | 3027340100 |
| Fax: | 3027340100 |