Basic Information
Provider Information
NPI: 1134882186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGGINS
FirstName: ABBI
MiddleName: DANIELLE
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STURM
OtherFirstName: ABBI
OtherMiddleName: DANIELLE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: OTR/L
OtherLastNameType: 5
Mailing Information
Address1: 154 N MEADOWLARK DR
Address2:  
City: WILLIAMSTOWN
State: WV
PostalCode: 261878272
CountryCode: US
TelephoneNumber: 3045880041
FaxNumber:  
Practice Location
Address1: 1716 GIHON RD
Address2:  
City: PARKERSBURG
State: WV
PostalCode: 261019655
CountryCode: US
TelephoneNumber: 3044855511
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/18/2021
LastUpdateDate: 10/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X1843WVY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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