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Individual
MOLLY GOSSON
Active
Individual
MOLLY GOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022224
NEW YORK STATE LICENSED OCCUPATIONAL THERAPIST
NY
01
—
390270
NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
08/21/2018
Last updated
08/21/2018
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