Goforth, Jean Annette

Goforth, Jean Annette is an individual health care provider with primary practice located at 4700 Elvas Ave , Sacramento CA 95819-2250. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Goforth, Jean Annette can be contacted via phone (916) 454-4700.

Contact Information

Primary practice address
4700 Elvas Ave Sacramento CA 95819-2250
Phone: (916) 454-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 1509 California

Profile Details

NPI number 1568595031
LBN Legal business name Goforth, Jean Annette
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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