Provider Demographics
NPI:1770917239
Name:HUGHES, MARY FINNERTY (DPT, OCS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FINNERTY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:JOAN
Other - Last Name:FINNERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, OCS
Mailing Address - Street 1:95-720 LANIKUHANA AVE
Mailing Address - Street 2:#140
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2985
Mailing Address - Country:US
Mailing Address - Phone:808-623-6414
Mailing Address - Fax:
Practice Address - Street 1:95-720 LANIKUHANA AVE
Practice Address - Street 2:#140
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2985
Practice Address - Country:US
Practice Address - Phone:808-623-6414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-02
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT402062251X0800X
WAPT600284562251X0800X
HIPT42022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic