Individual
MRS. KATHERINE ELIZABETH GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
102 PLUM ORCHARD CT, SIMPSONVILLE, SC 29681-3505
(864) 607-0688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2807
SC
Other
Enumeration date
02/11/2009
Last updated
05/10/2010
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