Healthcare Provider Details

I. General information

NPI: 1942086558
Provider Name (Legal Business Name): KATHLEEN C HUGINS OT/CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S OLIVE AVE STE 106
WEST PALM BEACH FL
33401-6127
US

IV. Provider business mailing address

2920 NW 107TH AVE
CORAL SPRINGS FL
33065-3625
US

V. Phone/Fax

Practice location:
  • Phone: 561-461-5343
  • Fax:
Mailing address:
  • Phone: 954-295-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number000337
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number000337
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: