Carlenia Irene Gose, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Hyden, KY
NPI 1962866319 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1962866319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- BOTOTA00220358 (KY)
- Practice address
- 130 Kate Ireland Dr
Hyden, KY 41749-9071 - Phone
- (606) 672-1127
- Fax
- (606) 672-1966
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BOTOTA00220358 | KY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | BOTOTA00220358 | KY | Yes |
Addresses
Primary practice location
130 Kate Ireland Dr
Hyden, KY 41749-9071
Mailing address
299 Gose Holw
Mayking, KY 41837-9033
Phone (606) 672-1127
Other providers in Hyden, KY
- Heidi A Froemke
- Frontier Nursing Healthcare, Inc.
- Frontier Nursing Healthcare, Inc.
- Keirstian Fultz
- Lindsay Gay
- Grace Community Health Center Inc
- Grace Community Health Center Inc
- Grace Community Health Center, Inc.
- Tracey Angela Grigsby
- Marjorie Haas
All providers in Hyden, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.