Individual provider · Type 1 NPI

Madison Pugh

Occupational Therapy Assistant · Gardendale, AL

NPI number 1104381664 Active

Practice location

420 Dean Dr
Gardendale, AL 35071-2763

Mailing address

7568 Old Bagley Rd
Empire, AL 35063-5110

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4884 (AL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104381664

Madison Pugh's National Provider Identifier is 1104381664, issued on Feb 8, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Gardendale, AL. The record was last updated on Feb 8, 2019.