Nicole Lee Gouldrup, COTA/L
NPI #1679028112 in Westport, Massachusetts
Provider Information
- NPI Number
- 1679028112
- Entity Type
- Individual
- Name
- Nicole Lee Gouldrup, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 24, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 378 HORSENECK RD
- City
- Westport
- State
- Massachusetts
- ZIP Code
- 02790-1337
- Phone
- (508) 493-0188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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