Gwen Duggan
Occupational Therapist in Norfolk, VA. Individual provider (NPI-1).
NPI number1124485404
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1124485404
- Entity type
- Individual (NPI-1)
- Name
- Gwen Duggan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2016
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01167500 | NJ | Yes |
| 224Z00000X | Occupational Therapy Assistant | 0131001487 | VA |
Other names
- Gwen Rutkowski (Former Name)
Practice location
200 College Pl Apt 304Norfolk, VA 23510-0902
Phone 201-563-3633
Mailing address
200 College Pl Apt 304Norfolk, VA 23510-0902
Phone 201-563-3633
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All 62 Occupational Therapist providers in Norfolk · All 7,859 providers in Norfolk
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