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Individual

AGOTA PONGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
(800) 970-5001
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
(800) 970-5001

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04586
OH

Other

Enumeration date
06/24/2011
Last updated
06/24/2011
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