SearchNorth CarolinaOccupational Therapy Assistant

Gina Gouge, COTA/L

NPI 1578025581 · on the registry since 2019

Practice

Address
2001 Van Haven Dr
Statesville, NC 28625
Phone
(704) 883-9700
Organisation at this address
Autumn Corporation
Autumn Corporation
Autumn Care Of Statesville, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina