Individual
MRS. SUE ANN GOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 N GILBERT AVE, CLEVELAND, OK 74020-1023
(918) 358-5973
Mailing address
P.O. BOX 66, CLEVELAND, OK 74020
(918) 358-5973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
331
OK
Other
Enumeration date
02/06/2008
Last updated
01/18/2011
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