Individual
MISS ASHLEY MIN GUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3036 E TREMONT AVE, BRONX, NY 10461-5733
(718) 823-3190
(718) 676-7715
Mailing address
4220 216TH ST APT 1, BAYSIDE, NY 11361-2941
(646) 715-6221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009300-01
NY
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
09/09/2021
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