Individual
DR. HEATHER KENNELL PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
2975 JADWYN RD, WOODSTOCK, VA 22664-2905
(540) 247-9896
Mailing address
2975 JADWYN RD, WOODSTOCK, VA 22664-2905
(540) 247-9896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003366
VA
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
0119003366
VA
Other
Enumeration date
10/06/2010
Last updated
11/27/2022
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