Individual
TONYA MARIE GOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AS, COTA/L
Contact information
Practice address
17 CROOKED CREEK DR, CANAAN, ME 04924-3354
(207) 399-8200
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1903
ME
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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