Individual
MRS. CAROLYN T GONSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7797 SAN MARCOS PL, BOCA RATON, FL 33433-4124
(561) 305-6932
Mailing address
7797 SAN MARCOS PL, BOCA RATON, FL 33433-4124
(561) 305-6932
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
14237
FL
225X00000X
Occupational Therapist
Primary
14237
FL
225XP0200X
Pediatric Occupational Therapist
14237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002368000
—
FL
Enumeration date
01/08/2008
Last updated
08/10/2016
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