Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT1639 | FL |
NPI | 1013278324 |
---|---|
Provider Name | James N Hough |
First Address | Winter Haven, FL 33881-4605 |
Second Address | Winter Haven, FL 33881-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 04/06/2012 |