Christine Gongola

NPI #1144502626 in Kennett Square, Pennsylvania

Provider Information

NPI Number: 1144502626
Entity Type: Individual
Name: Christine Gongola
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 12, 2011
Last Updated: Dec 11, 2012

Practice Location

Address: 101 E STATE ST
City: Kennett Square
State: Pennsylvania
ZIP Code: 19348-3109
Phone: (610) 925-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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