Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 169 | WV |
N | 225X00000X | Occupational Therapist | AA544437 | WV |
N | 2251E1200X | Ergonomics | AA544437 | WV |
N | 225XE1200X | Ergonomics | AA544437 | WV |
N | 2251H1300X | Human Factors | AA544437 | WV |
N | 225XH1300X | Human Factors | AA544437 | WV |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | AA544437 | WV |
N | 225XP0200X | Occupational Therapist - Pediatrics | AA544437 | WV |
NPI | 1952478331 |
---|---|
Provider Name | Mr. David Alan Gould |
First Address | Dunbar, WV 25064-1711 |
Second Address | Winfield, WV 25213-9347 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0159718000 | (05) | WV |