Individual
TIMOTHY GUGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
493 HERITAGE RD, SUITE1C, SOUTHBURY, CT 06488-3879
(631) 278-0665
(631) 619-6680
Mailing address
10 WENDOVER RD, NEWTOWN, CT 06470-1323
(203) 241-4074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001203
CT
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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