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Individual
MRS. AMY B GOTTESMAN
Active
Individual
MRS. AMY B GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002535
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
08/01/2006
Last updated
11/06/2019
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