| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAMIKA SHAVONNE HUBBARD | 1851707285 | 2014-07-07 |
Tamika Shavonne Hubbard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851707285. Registration indicates Tamika Shavonne Hubbard is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist) (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Tamika Shavonne Hubbard MSOT, OTR/L |
| Practice Office Address | 429 JOHN F KENNEDY WAY STE 236 WILLINGBORO, NJ US |
| Practice Office Telephone | 6098714442 |
| Mailing Address | 3 MAYNARD DR SICKLERVILLE, NJ 080812303 US |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OC013367
PA |
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 46TR00703900
NJ |