Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 7018 | NC |
NPI | 1003060187 |
---|---|
Provider Name | Mrs. Erin Tanisha Hughes |
First Address | Durham, NC 27703-9618 |
Second Address | Durham, NC 27703-9618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2008 |
Last Update Date | 16/11/2008 |