Individual
MRS. CECILIA S. PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
175 LUCINDA LN, PLEASANT HILL, CA 94523-4523
(925) 933-6710
Mailing address
175 LUCINDA LN, PLEASANT HILL, CA 94523-4523
(925) 933-6710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 1923
STATE LICENSE
CA
Enumeration date
05/17/2007
Last updated
07/08/2007
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