Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1747 | MA |
NPI | 1013195973 |
---|---|
Provider Name | Paula Estelle Gould |
First Address | Sterling, MA 01564-1514 |
Second Address | Sterling, MA 01564-1514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2008 |
Last Update Date | 03/02/2008 |