Matthew Richard Gold, OTR/L Valid NPI
Individual provider · Occupational Therapist · O Fallon, MO
- NPI
- 1780049841
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225X00000X
- License number
- 2010038836 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-12-16
- Last updated
- 2015-12-16
Practice location
259 Brougham Dr
O Fallon, MO 63368-8001
(314) 479-4573