Crystal Ann Goodrich in South Portland - Occupational Therapist
Crystal Ann Goodrich - NPI 1003028994
Crystal Ann Goodrich is a Occupational Therapist in South Portland, Maine. Crystal Ann Goodrich practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Crystal Ann Goodrich is 1003028994. The last update date is 2007-07-08.
Crystal Ann Goodrich's current location address is 17 Highland Ave, South Portland, Maine. You can contact this provider via phone number 2076716939. The mailing address for Crystal Ann Goodrich is 17 Highland Ave, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Ann Goodrich |
|---|---|
| Address | 17 Highland Ave, South Portland, Maine |
| Phone Number | 2076716939 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, OTRL |
NPI Number Detail
| NPI Number | 1003028994 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 Highland Ave |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41063726 |
| Phone Number | 2076716939 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT1010 |
|
Definition: 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 Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11364530 | ME | CAQH | |
| 61453 | ME | ANTEM ID # |
Post Comment/ Review Below
What is the Crystal Ann Goodrich's unique identification number?
The Crystal Ann Goodrich has been assigned the NPI (National Provider Identifier) Number 1003028994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Crystal Ann Goodrich's facilities are situated?
The facilities of Crystal Ann Goodrich are physically located at the following address: 17 Highland Ave, South Portland, ME, 41063726.
What is Crystal Ann Goodrich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crystal Ann Goodrich is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date was the 1003028994 assigned to Crystal Ann Goodrich?
The Crystal Ann Goodrich was issued its 1003028994 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Crystal Ann Goodrich most recently updated or revised?
The details related to Crystal Ann Goodrich, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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