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Kathleen Keaton Hubbard, PTA
Specialist in Bonne Terre, Missouri
NPI 1770775819

Kathleen Keaton Hubbard is a Specialist based in Bonne Terre, MO. Kathleen Keaton Hubbard practices in Bonne Terre, MO and has the professional credentials of PTA. The NPI Number for Kathleen Keaton Hubbard is 1770775819 and holds a License No. 116158 (Missouri).

The current practice location address for Kathleen Keaton Hubbard is 513 E Capri Dr, Bonne Terre, MO and can be reached out via phone at 573-358-7356 and via fax at 573-358-7356.

Location: 513 E Capri Dr, Bonne Terre, MO, 63628-9331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770775819
Provider Name
Kathleen Keaton Hubbard
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
513 E Capri Dr, Bonne Terre, MO, 63628-9331
Phone Number
573-358-7356
Fax Number
573-358-7356
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
513 E Capri Dr
City
Bonne Terre
State
Missouri
Zip
63628-9331
Phone Number
573-358-7356
Fax Number
573-358-7356
person
Provider Business Mailing Address Details
Address
513 E Capri Dr
City
Bonne Terre
State
Missouri
Zip
63628-9331
Phone Number
573-358-7356
Fax Number
573-358-7356
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
116158 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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