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Individual

MR. DAVID ALAN GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT, OTRL

Contact information

Practice address
9 COURTHOUSE DR, WINFIELD, WV 25213-9347
(304) 586-0500
(304) 586-0553
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
(304) 766-7655
(304) 755-2824

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
LMT20041538
WV
225X00000X
Occupational Therapist
Primary
169
WV
225X00000X
Occupational Therapist
AA544437
WV
225XE1200X
Ergonomics Occupational Therapist
AA544437
WV
225XH1300X
Human Factors Occupational Therapist
AA544437
WV
225XN1300X
Neurorehabilitation Occupational Therapist
AA544437
WV
225XP0200X
Pediatric Occupational Therapist
AA544437
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159718000
WV
Enumeration date
11/29/2006
Last updated
05/08/2009
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