Individual provider · Type 1 NPI

Breana Faye Gough

Occupational Therapist · Fort Worth, TX

NPI number 1548858897 Active

Practice location

1400 8th Ave
Fort Worth, TX 76104-4110

Mailing address

424 Sugartree Dr
Lipan, TX 76462-9609

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1548858897

Breana Faye Gough's National Provider Identifier is 1548858897, issued on Jan 4, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 4, 2021.