Individual
LAURIE GOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
(973) 322-7000
Mailing address
200 S ORANGE AVE, LIVINGSTON, NJ 07039-5817
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
TR00254500
NJ
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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