Individual
TRISHA D GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
122 SLOCUM RD, HEBRON, CT 06248-1437
(614) 623-3571
Mailing address
122 SLOCUM RD, HEBRON, CT 06248-1437
(860) 455-3736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
224
CT
225XP0200X
Pediatric Occupational Therapist
224
CT
251E00000X
Home Health Agency
224
CT
282N00000X
General Acute Care Hospital
224
CT
310400000X
Assisted Living Facility
224
CT
314000000X
Skilled Nursing Facility
224
CT
Other
Enumeration date
06/06/2013
Last updated
02/19/2016
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