Individual
EDGAR FERRAGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
64 DANBURY RD, STE 100, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
5507 NEW COLONY DR, VIRGINIA BEACH, VA 23464-4010
(757) 318-8097
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2306602076
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306602076
VIRGINIA BOARD OF HEALTH PROFESSIONALS
VA
Enumeration date
05/27/2015
Last updated
05/27/2015
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