Healthcare Provider Details

I. General information

NPI: 1689658619
Provider Name (Legal Business Name): APRIL MARIE HIBBELER OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10315 HAMPTONS PARK DR
HUNTERSVILLE NC
28078-7217
US

IV. Provider business mailing address

PO BOX 601791
CHARLOTTE NC
28260-1791
US

V. Phone/Fax

Practice location:
  • Phone: 704-323-2809
  • Fax:
Mailing address:
  • Phone: 704-323-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number4726
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: