Individual
HEATHER NOELLE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
1420 CLARKVIEW RD, BALTIMORE, MD 21209-2104
(443) 213-0395
(443) 973-6125
Mailing address
1320 ELM RD, APT A, HALETHORPE, MD 21227
(410) 440-6874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23467
MD
Other
Enumeration date
10/27/2010
Last updated
01/30/2019
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