Provider Demographics
NPI:1841318532
Name:HEBERT, CATHERINE G (MS, OT/L)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:G
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MS, OT/L
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:GRIFFIN
Other - Last Name:HEBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSOT, OTR/L
Mailing Address - Street 1:1617 GREENLEAF LANE
Mailing Address - Street 2:1617 GREENLEAF LN
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903
Mailing Address - Country:US
Mailing Address - Phone:603-313-3694
Mailing Address - Fax:
Practice Address - Street 1:1102 ROSE HILL DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-5128
Practice Address - Country:US
Practice Address - Phone:349-798-6284
Practice Address - Fax:434-979-8536
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005379225X00000X
VA119005379225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist