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NPI Code Detail

MEDICARE: JESSICA J MCHUGH OT

MEDICARE: JESSICA J MCHUGH OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist001932IA

General Provider Information

NPI Number : 1114166584
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA J MCHUGH OT
Provider Business Mailing Address
First Line : 2802 CASTLES GATE DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-7203
Country : US
Telephone Number : 712-266-0707
Fax Number : 712-266-0709
Provider Business Practice Location Address
First Line : 2802 CASTLES GATE DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-7203
Country : US
Telephone Number : 712-266-0707
Fax Number : 712-266-0709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2009
Last Update Date : 02/09/2009

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