Individual
JASMINE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10261 PINES BLVD, PEMBROKE PINES, FL 33026-6008
(954) 356-2878
Mailing address
12100 NE MIAMI CT, NORTH MIAMI, FL 33161-5354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26199
FL
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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