Provider Demographics
NPI:1659629293
Name:HUGHES, CAROLE ADLER (BA, OT/L)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ADLER
Last Name:HUGHES
Suffix:
Gender:F
Credentials:BA, OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15305 PEPPER LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6425
Mailing Address - Country:US
Mailing Address - Phone:408-827-4330
Mailing Address - Fax:
Practice Address - Street 1:15305 PEPPER LN
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6425
Practice Address - Country:US
Practice Address - Phone:408-827-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3739225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist