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Individual

GINA BERGDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1 GLEN HILL RD, DANBURY, CT 06811-4921
(203) 744-2840
Mailing address
18 SHERIDAN DR, PAWLING, NY 12564-1031

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1602
CT

Other

Enumeration date
07/20/2015
Last updated
07/20/2015
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