Provider Demographics
NPI:1811285976
Name:HUGHES, FELICIA ANN (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:FELICIA
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 COURTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-5370
Mailing Address - Country:US
Mailing Address - Phone:708-990-7473
Mailing Address - Fax:
Practice Address - Street 1:1900 COURTLAND AVE
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-5370
Practice Address - Country:US
Practice Address - Phone:708-990-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP010503224Z00000X
IL057.000278224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant