Individual
PHYLLIS GAUGHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 HOMMOCKS RD, LARCHMONT, NY 10538-3911
(914) 834-2826
Mailing address
47 HOMMOCKS RD, LARCHMONT, NY 10538-3911
(914) 834-2826
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000334-1
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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