Individual
MR. RICHARD JERRYL GOPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3 MEADOW LN, #7, BRIDGEWATER, MA 02324-8103
(508) 697-8866
Mailing address
3 MEADOW LN, #7, BRIDGEWATER, MA 02324-8103
(508) 697-8866
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3550
MA
224Z00000X
Occupational Therapy Assistant
OTA00622
RI
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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