Individual
JESSICA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 JOG RD, GREENACRES, FL 33467-2053
(954) 296-3861
Mailing address
1609 SW 12TH CT, FORT LAUDERDALE, FL 33312-4139
(954) 439-6782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224Z0000X
FL
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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