Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA13366 | FL |
NPI | 1023563715 |
---|---|
Provider Name | Carolyn Hughes |
First Address | Oviedo, FL 32765-8597 |
Second Address | Oviedo, FL 32765-9260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2016 |
Last Update Date | 23/08/2016 |