Individual
LAUREN GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3701 FERNHILL AVE, BALTIMORE, MD 21215-6133
(410) 396-0604
Mailing address
90 NORTHRIDGE DR, HANOVER, PA 17331-8485
(717) 688-0579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09457
MD
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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