Individual
GINA L RAGONESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ROUTE 70, MEDFORD, NJ 08055-9501
(856) 533-0920
(856) 375-1110
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00757200
NJ
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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