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NPI Code Detail

MEDICARE: MISS ANGELA MICHELLE GOSSELIN OTR/L

MEDICARE: MISS ANGELA MICHELLE GOSSELIN OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT1777ME

General Provider Information

NPI Number : 1851552715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANGELA MICHELLE GOSSELIN OTR/L
Provider Business Mailing Address
First Line : 33 DELCLIFFE LN
Second Line :
City : LEWISTON
State : ME
Zip : 04240-4001
Country : US
Telephone Number : 207-240-9199
Fax Number :
Provider Business Practice Location Address
First Line : 440 MINOT AVE
Second Line :
City : AUBURN
State : ME
Zip : 04210-4332
Country : US
Telephone Number : 207-784-3573
Fax Number : 207-782-6733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 06/23/2008

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Directions to “ MISS ANGELA MICHELLE GOSSELIN OTR/L” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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