Individual
MS. CECELIA JEANNE GOOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. O.T.R.
Contact information
Practice address
1979 CENTRAL AVE, ALBANY, NY 12205-4501
(518) 464-6304
Mailing address
14 GANSEVOORT RD, SOUTH GLENS FALLS, NY 12803-5209
(518) 338-3176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004104-1
NY
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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