Individual
ELIZABETH GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 EDEN TER, POUGHKEEPSIE, NY 12601-4802
(845) 527-1400
Mailing address
1 EDEN TER, POUGHKEEPSIE, NY 12601-4802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015680-1
NY
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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