Goose, Shaun

Goose, Shaun is an sole proprietor health care provider with primary practice located at 1727 Sweetwater Rd Ste 117 , National City CA 91950-7651. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Goose, Shaun can be contacted via phone (619) 434-2063.

Contact Information

Primary practice address
1727 Sweetwater Rd Ste 117 National City CA 91950-7651
Phone: (619) 434-2063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X

Profile Details

NPI number 1790279073
LBN Legal business name Goose, Shaun
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Jun 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers