Provider Demographics
NPI:1982640421
Name:HUEBNER, MARY MARTHA (DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:MARTHA
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:392 GARRISONVILLE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1576
Mailing Address - Country:US
Mailing Address - Phone:540-602-4277
Mailing Address - Fax:540-628-8581
Practice Address - Street 1:421 CHATHAM SQUARE OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2561
Practice Address - Country:US
Practice Address - Phone:540-373-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052025982251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic