Individual provider · Type 1 NPI

Fallon Mary Gouveia, OTR/L, LAT, ATC

Occupational Therapist · Malvern, PA

NPI number 1174081350 Active

Practice location

414 Paoli Pike
Malvern, PA 19355-3311

Mailing address

2876 Ringneck Rd
Audubon, PA 19403-1817

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Occupational Therapist Primary 225X00000XO3018293 (PA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174081350

Fallon Mary Gouveia, OTR/L, LAT, ATC's National Provider Identifier is 1174081350, issued on Mar 7, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Malvern, PA. The record was last updated on Jan 28, 2025.