Individual
MRS. JOHANNA GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
30 WEST AVE, WAYNE, PA 19087-3322
(610) 293-2595
(610) 995-1350
Mailing address
355 GARRISON WAY, GULPH MILLS, PA 19428-2513
(610) 527-3981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003517L
PA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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