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1538512652
TIMOTHY GUGINO
SOUTHBURY, CT
NPI
1538512652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 001203)
Enumeration Date
2016-07-14
Last Update Date
2016-07-14
Business Address
-- TIMOTHY GUGINO COTA
493 HERITAGE RD SUITE1C
SOUTHBURY, CT 06488-3879
Phone number: 631-278-0665
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Mailing Address
-- TIMOTHY GUGINO COTA
10 WENDOVER RD
NEWTOWN, CT 06470-1323
Phone number: 203-241-4074
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