Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY LEE GOHEEN II, COTA/L
Active Sole ProprietorMR. TERRY LEE GOHEEN II, COTA/L is a Occupational Therapy Assistant healthcare provider located in DOW, Illinois. NPI 1093094013 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DOW, IL
Registration Details
- NPI Number
- 1093094013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2011 (15.005674826897 yrs)
- Last Updated
- Aug 8, 2011
- License
-
057.003047 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15874 MEDORA STDOW, IL, 620223173Browse IL providers · Browse ZIP 62022
- Phone
- 6188855602
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.