Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5259328-4201 | UT |
NPI | 1003900978 |
---|---|
Provider Name | Katherine A Hughes |
First Address | Slc, UT 84113-1103 |
Second Address | Slc, UT 84113-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |