Individual
HANNAH RACHEL GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Mailing address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2832
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2832
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
09/18/2015
Last updated
02/24/2022
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