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NPI Code Detail

MEDICARE: JANET LEE HUGHES O.T.A.

MEDICARE: JANET LEE HUGHES O.T.A.
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
1224Z00000XOccupational Therapy AssistantIL

General Provider Information

NPI Number : 1588852339
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LEE HUGHES O.T.A.
Provider Business Mailing Address
First Line : 10225 34TH AVE
Second Line :
City : PLEASANT PRAIRIE
State : WI
Zip : 53158-4037
Country : US
Telephone Number : 262-942-9554
Fax Number :
Provider Business Practice Location Address
First Line : 2534 ELIM AVE
Second Line :
City : ZION
State : IL
Zip : 60099-2661
Country : US
Telephone Number : 847-746-8435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2007
Last Update Date : 10/05/2007

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