Provider Demographics
NPI:1013195973
Name:GOULD, PAULA ESTELLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:ESTELLE
Last Name:GOULD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WILES RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-1514
Mailing Address - Country:US
Mailing Address - Phone:978-257-5304
Mailing Address - Fax:
Practice Address - Street 1:4 WILES RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-1514
Practice Address - Country:US
Practice Address - Phone:978-257-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1747224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant