Individual
CHASITY ANN GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 NIX RIDGE RD, ASH FLAT, AR 72513-9017
(870) 612-2440
Mailing address
PO BOX 54, CUSHMAN, AR 72526-0054
(870) 612-2440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A621
AR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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