Provider Demographics
NPI:1447490024
Name:HUGHEY, CARA MARIE (DPT)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:MARIE
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 IDLEWYLD DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-7812
Mailing Address - Country:US
Mailing Address - Phone:302-378-5634
Mailing Address - Fax:
Practice Address - Street 1:100 ENTERPRISE PL
Practice Address - Street 2:SUITE #1
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-8202
Practice Address - Country:US
Practice Address - Phone:302-678-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001803174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEJ1-0001803OtherSTATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION