Healthcare Provider Details

I. General information

NPI: 1447971437
Provider Name (Legal Business Name): ANNA HUBER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11142 W 135TH ST
OVERLAND PARK KS
66221-9731
US

IV. Provider business mailing address

3795 W 95TH ST
OVERLAND PARK KS
66206-2036
US

V. Phone/Fax

Practice location:
  • Phone: 913-449-9696
  • Fax:
Mailing address:
  • Phone: 913-286-0422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number17-04033
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: