Provider Demographics
NPI:1962431429
Name:HART-HUGHES, STEPHANIE JANE (PT, NCS)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:JANE
Last Name:HART-HUGHES
Suffix:
Gender:F
Credentials:PT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 MONTFORD DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-2788
Mailing Address - Country:US
Mailing Address - Phone:813-558-3932
Mailing Address - Fax:
Practice Address - Street 1:11605 N NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5738
Practice Address - Country:US
Practice Address - Phone:813-558-3932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 14804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist