Provider Demographics
NPI:1104066208
Name:HYBNER, DAVID CHARLES (OTR, ATP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:HYBNER
Suffix:
Gender:M
Credentials:OTR, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 LIPPINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6547
Mailing Address - Country:US
Mailing Address - Phone:804-706-1198
Mailing Address - Fax:804-706-1198
Practice Address - Street 1:5121 LIPPINGHAM LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-6547
Practice Address - Country:US
Practice Address - Phone:804-706-1198
Practice Address - Fax:804-706-1198
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02663225X00000X
VA0119003845225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist