Provider Demographics
NPI:1386301836
Name:HUGLE, JANET ELAINE
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELAINE
Last Name:HUGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6167 SW HIGHWAY 270
Mailing Address - Street 2:
Mailing Address - City:WILBURTON
Mailing Address - State:OK
Mailing Address - Zip Code:74578-6824
Mailing Address - Country:US
Mailing Address - Phone:918-297-5028
Mailing Address - Fax:
Practice Address - Street 1:6167 SW HIGHWAY 270
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-6824
Practice Address - Country:US
Practice Address - Phone:918-297-5028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK166225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant