Individual
CARLENIA IRENE GOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
130 KATE IRELAND DR, HYDEN, KY 41749-9071
(606) 672-1127
(606) 672-1966
Mailing address
299 GOSE HOLW, MAYKING, KY 41837-9033
(606) 672-1127
(606) 672-1966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00220358
KY
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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