Healthcare Provider Details

I. General information

NPI: 1710051461
Provider Name (Legal Business Name): VIRGINIA ANN HUGHES OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11129 KENWOOD RD
CINCINNATI OH
45242-1817
US

IV. Provider business mailing address

8082 KINGFISHER LN
WEST CHESTER OH
45069-1983
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-1100
  • Fax:
Mailing address:
  • Phone: 513-755-7441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number004570
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: