Individual
MELINDA S PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 E BULLARD AVE STE 102, FRESNO, CA 93710-5866
(559) 438-8531
Mailing address
1700 E BULLARD AVE STE 102, FRESNO, CA 93710-5866
(559) 438-8531
(559) 438-8307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA49207
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
03/28/2018
Last updated
03/28/2018
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