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Individual

ALEXANDRA NICOLE GOOSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-4000
Mailing address
230 W 2ND ST APT 3413, KANSAS CITY, MO 64105-2180
(402) 239-6694

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-03766
KS
225X00000X
Occupational Therapist
Primary
2020031721
MO

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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