Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 008124-1 | NY |
NPI | 1144615840 |
---|---|
Provider Name | Mrs. Karen Elizabeth Hughes |
First Address | Orchard Park, NY 14127-2382 |
Second Address | Orchard Park, NY 14127-2275 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 31/03/2015 |