Individual
MS. MELISSA GOULD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4278 PACES FERRY RD SE, ATLANTA, GA 30339-3782
(404) 667-7078
Mailing address
4278 PACES FERRY RD SE, ATLANTA, GA 30339-3782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002778
GA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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