Whalio Doctors

NPI 1104381664

Madison Pugh

Practitioner Occupational Therapy Assistant Gardendale, AL

Practice location

Address
420 Dean Dr, Gardendale, AL 35071-2763
Phone
(205) 631-8709
Mailing address
7568 Old Bagley Rd, Empire, AL 35063-5110

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4884 (AL)

Registry record

NPI
1104381664
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Feb 2019
Record last updated
8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.