Individual
DELDRYA PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 N MAIN ST, BAYTOWN, TX 77521-3307
(281) 422-9541
Mailing address
3921 N MAIN ST, BAYTOWN, TX 77521-3307
(281) 422-9541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211468
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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