Provider Demographics
NPI:1003060187
Name:HUGHES, ERIN TANISHA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:TANISHA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 ASHBURN LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9618
Mailing Address - Country:US
Mailing Address - Phone:757-329-1425
Mailing Address - Fax:
Practice Address - Street 1:615 ASHBURN LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9618
Practice Address - Country:US
Practice Address - Phone:757-329-1425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7018224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant