Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Fallon Mary Gouveia, OTR/L, LAT, ATC

Individual provider Athletic Trainer · NPI 1174081350

Miss. Fallon Mary Gouveia, OTR/L, LAT, ATC is an Athletic Trainer in Malvern, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

414 Paoli Pike
Malvern, PA 19355-3311
Phone: (484) 784-7824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence O3018293 (PA)
Athletic Trainer Taxonomy 2255A2300X (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1174081350
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 7, 2019
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 10, 2025

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