Individual
KARISSA MCHUGH NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
812 PHILADELPHIA PIKE, WILMINGTON, DE 19809-2372
(302) 543-5463
Mailing address
4 WINDING LN, CLAYMONT, DE 19703-2457
(609) 731-8663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC010594
PA
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
U1-0001681
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021130980001
—
PA
Enumeration date
04/07/2008
Last updated
03/22/2019
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