MRS. Shondel Gough, COTA/L

NPI #1366619256 in Midvale, Utah

Provider Information

NPI Number
1366619256
Entity Type
Individual
Name
MRS. Shondel Gough, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
May 10, 2008
Last Updated
May 10, 2008

Practice Location

Address
7442 S 240 E
State
Utah
ZIP Code
84047-2191
Phone
(801) 641-1735

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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