Individual
SHIRLEY ANN GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6701 W UNION HILLS DR STE 2, GLENDALE, AZ 85308-8067
(575) 494-7278
Mailing address
6108 S LOS LAGOS CIR, FORT MOHAVE, AZ 86426-7005
(575) 494-7278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4480
AZ
Other
Enumeration date
08/10/2010
Last updated
02/13/2011
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