Individual
MR. MICHAEL GINGOLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4 SPLIT RAIL CT, OXFORD, CT 06478-3206
(203) 906-5010
Mailing address
4 SPLIT RAIL CT, OXFORD, CT 06478-3206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002646
CT
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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