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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDALL SCOTT GONG, COTA/L

Active Sole Proprietor

MR. RANDALL SCOTT GONG, COTA/L is a Occupational Therapy Assistant healthcare provider located in GALLOWAY, New Jersey. NPI 1831791706 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GALLOWAY, NJ

Registration Details

NPI Number
1831791706
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2020 (5.7072791108055 yrs)
Last Updated
Nov 14, 2020
License
46T09167100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
737 WHALERS COVE PL
GALLOWAY, NJ, 082053018
Browse NJ providers · Browse ZIP 08205
Phone
6093352033
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GALLOWAY, NJ

Name Credential NPI
MS. STEPHANIE DANTRO COTA 1356556237
DENISE KRISTINE SKROSKIS COTA 1588870927
BRITTANY GRAYBILL COTA/L 1689471955
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.