Provider Demographics
NPI:1184896490
Name:HUBNER, KRISTINE ANNE (OTRL, CHT, SIPT)
Entity type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:ANNE
Last Name:HUBNER
Suffix:
Gender:F
Credentials:OTRL, CHT, SIPT
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:ANNE
Other - Last Name:HUBNER-LEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR, CHT, SIPT
Mailing Address - Street 1:242 HALL DR
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-4006
Mailing Address - Country:US
Mailing Address - Phone:925-254-1137
Mailing Address - Fax:
Practice Address - Street 1:242 HALL DR
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-4006
Practice Address - Country:US
Practice Address - Phone:925-254-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT LICENSE 3466174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist