Individual
GINA BARON GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5920 SANDY FORKS RD STE 200, RALEIGH, NC 27609-3814
(919) 954-3492
(919) 954-3947
Mailing address
5920 SANDY FORKS RD STE 200, RALEIGH, NC 27609-3814
(919) 954-3492
(919) 954-3947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10083
NC
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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