Individual
MELISSA GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5708 S TONGASS HWY, KETCHIKAN, AK 99901-9705
(907) 617-2878
Mailing address
PO BOX 7642, KETCHIKAN, AK 99901-2642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1235
AK
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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