Healthcare Provider Details
I. General information
NPI: 1518905918
Provider Name (Legal Business Name): HUBER ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
637 MINOT AVE
AUBURN ME
04210-4052
US
IV. Provider business mailing address
637 MINOT AVE
AUBURN ME
04210-4052
US
V. Phone/Fax
- Phone: 207-783-3393
- Fax: 207-783-0848
- Phone: 207-783-3393
- Fax: 207-783-0848
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 222Z00000X |
| Taxonomy | Orthotist |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
STEVEN
RAY
HUBER
Title or Position: PRESIDENT AND OWNER
Credential: PT/ORTHOTIST/CKTI
Phone: 207-783-3393