Individual
ERICA GOOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3619 BOWNE ST, APT 1E, FLUSHING, NY 11354-4514
(718) 640-4976
Mailing address
3619 BOWNE ST, APT 1E, FLUSHING, NY 11354-4514
(718) 640-4976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007225-1
NY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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