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Kozetta Pugh, OTA

NPI 1851610968 · on the registry since 2010

Practice

Address: 11860 Southwest Hwy
Palos Heights, IL 60463
Phone: (708) 361-4555
Organisation at this address: Phw Skilled Nursing Facility Llc
Manor Care Of Palos Heights (West) Il, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois