Most Relevant Information
Provider Data
| NPI Number: | 1003499849 |
| Provider Name: | DOUGLAS A GAHAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 007867-01 |
Most Important Dates
| Enumeration Date: | 04/29/2021 |
| Last Updated: | 04/29/2021 |
Provider Practice Location
206 LAWRENCE AVE
N SYRACUSE
NY
132123611
Practice Location Phone/Fax
| Phone: | 3154306025 |
| Fax: |
Provider Mailing Location
206 LAWRENCE AVE
N SYRACUSE
NY
132123611
Provider Mailing Phone/Fax
| Phone: | 3154306025 |
| Fax: |