Provider Demographics
NPI:1689841389
Name:HUGHES, KAREN LOUISE (OTR)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LOUISE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 SIMPSONS POINT RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7905
Mailing Address - Country:US
Mailing Address - Phone:603-247-3727
Mailing Address - Fax:207-443-8749
Practice Address - Street 1:97 COMMERCIAL ST STE 2
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2563
Practice Address - Country:US
Practice Address - Phone:207-443-8912
Practice Address - Fax:207-443-8749
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1005225X00000X
ME3125225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1005OtherSTATE OT LICENSE