Individual
ALISON ANN GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
EMERALD COAST HEATH CARE, 114 THIRD ST, FORT WALTON BEACH, FL 32548
(850) 243-6134
Mailing address
1500 WHITE POINT RD, NICEVILLE, FL 32578-4249
(850) 897-5592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12228
FL
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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