Goss, Kim M

Goss, Kim M is an individual health care provider with primary practice located at 1050 Ocean Shore Blvd , Ormond Beach FL 32176-4126. 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. Goss, Kim M can be contacted via phone (386) 441-1771.

Contact Information

Primary practice address
1050 Ocean Shore Blvd Ormond Beach FL 32176-4126
Phone: (386) 441-1771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA13605 Florida

Profile Details

NPI number 1366031643
LBN Legal business name Goss, Kim M
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2021
Last updated Jan 12th, 2021 - about 3 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.

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