Individual
VICTORIA E GOOSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Mailing address
1216 HIGHWAY 236 W, LONOKE, AR 72086-8602
(501) 266-2314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3854
AR
Other
Enumeration date
10/26/2023
Last updated
02/28/2024
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