MISS Fallon Mary Gouveia, OTR/L, LAT, ATC
NPI #1174081350 in Malvern, Pennsylvania
Provider Information
- NPI Number
- 1174081350
- Entity Type
- Individual
- Name
- MISS Fallon Mary Gouveia, OTR/L, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L, LAT, ATC
- Enumeration Date
- Mar 7, 2019
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 414 PAOLI PIKE
- City
- Malvern
- State
- Pennsylvania
- ZIP Code
- 19355-3311
- Phone
- (484) 784-7824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
| Occupational Therapist |
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