Individual
MRS. KIM M GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
Mailing address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13605
FL
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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