Healthcare Provider Details

I. General information

NPI: 1700036324
Provider Name (Legal Business Name): CLAUDIA HUBER OT/R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W OAK ST FL 5
FORT COLLINS CO
80521-2722
US

IV. Provider business mailing address

315 W OAK ST FL 5
FORT COLLINS CO
80521-2722
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-1073
  • Fax: 970-221-1073
Mailing address:
  • Phone: 970-221-1073
  • Fax: 970-221-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1024531
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: