Individual
GWEN DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COLLEGE PL APT 304, NORFOLK, VA 23510-0902
(201) 563-3633
Mailing address
200 COLLEGE PL APT 304, NORFOLK, VA 23510-0902
(201) 563-3633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001487
VA
225X00000X
Occupational Therapist
Primary
46TR01167500
NJ
Other
Enumeration date
01/18/2016
Last updated
02/29/2024
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