Individual
BRENDAN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 BENMOSCHE ROAD, HARRIS, NY 12742
(845) 794-1400
Mailing address
PO BOX 840, HARRIS, NY 12742-0840
(845) 794-1400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008129
NY
225X00000X
Occupational Therapist
Primary
024405
NY
Other
Enumeration date
07/25/2019
Last updated
06/22/2021
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