Individual
DOUGLAS A GAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
206 LAWRENCE AVE, N SYRACUSE, NY 13212-3611
(315) 430-6025
Mailing address
206 LAWRENCE AVE, N SYRACUSE, NY 13212-3611
(315) 430-6025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007867-01
NY
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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