Individual
RYAN GOHEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5830 CORAL RIDGE DR, CORAL SPRINGS, FL 33076-3392
(866) 425-5768
Mailing address
4816 ELON CRES, LAKELAND, FL 33810-3715
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12032
FL
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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