Individual
ALEXIS GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
711 TROY SCHENECTADY RD STE 216, LATHAM, NY 12110-2487
(518) 786-1665
(518) 785-0056
Mailing address
711 TROY SCHENECTADY RD STE 209, LATHAM, NY 12110-2481
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026981-01
NY
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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