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Individual

CHAD GOSNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 SEXTON WAY, MIDWAY, KY 40347-7800
(859) 846-4663
Mailing address
11606 MAPLE WAY, LOUISVILLE, KY 40229-2255
(502) 593-4282

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
274776
KY
225X00000X
Occupational Therapist

Other

Enumeration date
02/28/2022
Last updated
03/03/2022
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