Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 100724 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 100724 | TX |
NPI | 1154440469 |
---|---|
Provider Name | Susan C Hughes |
First Address | Plano, TX 75093-5619 |
Second Address | Plano, TX 75093-5619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 30/05/2013 |