Individual
ANGELA GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
KENCREST SERVICES, 502 WEST GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462
(610) 825-9360
Mailing address
KENCREST SERVICES, 502 WEST GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005396L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019356180002
MA
PA
Enumeration date
04/16/2007
Last updated
07/08/2007
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