Individual
KATHRYN PAIGE GOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5580 W 16TH AVE STE 201, HIALEAH, FL 33012-2189
(305) 456-2646
(305) 967-8442
Mailing address
9373 FONTAINEBLEAU BLVD APT K208, MIAMI, FL 33172-5698
(786) 290-6206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G263515796040
DRIVER LICENSE
FL
Enumeration date
02/20/2018
Last updated
02/20/2018
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