Individual
MS. MICHELLE ANN GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5858 S FULTON WAY, GREENWOOD VILLAGE, CO 80111-3720
(303) 694-3585
(720) 250-0289
Mailing address
5858 S FULTON WAY, GREENWOOD VILLAGE, CO 80111-3720
(303) 694-3585
(720) 250-0289
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
AA460303
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557846
—
CO
Enumeration date
05/09/2007
Last updated
07/09/2007
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