Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATHER KENNELL PUGH, MA, OTR/L
ActiveDR. HEATHER KENNELL PUGH, MA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in WOODSTOCK, Virginia. NPI 1164731204 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · WOODSTOCK, VA
Registration Details
- NPI Number
- 1164731204
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2010 (15.816490726843 yrs)
- Last Updated
- Nov 27, 2022
- Licenses
-
0119003366 (VA)0119003366 (VA)
Practice Information
- Address
-
2975 JADWYN RDWOODSTOCK, VA, 226642905Browse VA providers · Browse ZIP 22664
- Phone
- 5402479896
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.