Provider Demographics
NPI:1194050864
Name:HUGHES LEVINSON, DARLENE LOUISE (OTR/L)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:LOUISE
Last Name:HUGHES LEVINSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:LOUISE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1560 N LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-9641
Mailing Address - Country:US
Mailing Address - Phone:315-655-5654
Mailing Address - Fax:
Practice Address - Street 1:6296 FLY RD
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9333
Practice Address - Country:US
Practice Address - Phone:315-701-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005782-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist