Mr. Walter Eugene Gotovich JR.
Occupational Therapist Mental Health
74 Henry Dr
Plymouth
, Massachusetts 02360-1582
Mr. Walter Eugene Gotovich JR.
Occupational Therapist Mental Health
74 Henry Dr
Plymouth
, Massachusetts 02360-1582
(508) 224-4922
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About
Features
Specialties
- Occupational Therapist
- Mental Health
Languages spoken
- English
Location
First Address
- Mr. Walter Eugene Gotovich JR.
- 74 Henry Dr
- Plymouth, MA
- Zip : 02360-1582
- Phone : (508) 224-4922
Second Address
- Mr. Walter Eugene Gotovich JR.
- 74 Henry Dr
- Plymouth, MA
- Zip : 02360-1582
- Phone : (508) 224-4922
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 2327 | MA |
| Y | 225XM0800X | Mental Health | 2327 | MA |
National Provider Identifier
| NPI | 1942543939 |
|---|---|
| Provider Name | Mr. Walter Eugene Gotovich JR. |
| First Address | Plymouth, MA 02360-1582 |
| Second Address | Plymouth, MA 02360-1582 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2013 |
| Last Update Date | 28/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.