Individual
MS. JENNIFER A. PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
988 OAK RIDGE TPKE STE 100A, OAK RIDGE, TN 37830-6919
(865) 425-4388
(865) 425-4677
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02846
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530537
—
TN
Enumeration date
12/03/2012
Last updated
10/13/2023
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