Most Relevant Information
Provider Data
| NPI Number: | 1003562075 |
| Provider Name: | CHAD GOSNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2022 |
| Last Updated: | 03/03/2022 |
Provider Practice Location
101 SEXTON WAY
MIDWAY
KY
403477800
Practice Location Phone/Fax
| Phone: | 8598464663 |
| Fax: |
Provider Mailing Location
11606 MAPLE WAY
LOUISVILLE
KY
402292255
Provider Mailing Phone/Fax
| Phone: | 5025934282 |
| Fax: |