Provider Demographics
NPI:1164782330
Name:HUBBARD, CHRISTINE (OTD, MA, OTRL)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:OTD, MA, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04943-3421
Mailing Address - Country:US
Mailing Address - Phone:207-299-5915
Mailing Address - Fax:
Practice Address - Street 1:2200 ATHENS RD
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:ME
Practice Address - Zip Code:04943-3421
Practice Address - Country:US
Practice Address - Phone:207-299-5915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT0473225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist