Kellyann Gough, M.S., OTR/L

NPI #1972141927 in Chester, New York

Provider Information

NPI Number: 1972141927
Entity Type: Individual
Name: Kellyann Gough, M.S., OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: M.S., OTR/L
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 56 GOSHEN RD
City: Chester
State: New York
ZIP Code: 10918-4314
Phone: (845) 549-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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