Goodrich, Alison Jane

Goodrich, Alison Jane is an sole proprietor health care provider with primary practice located at 708 S Cooper St , New Smyrna Beach FL 32169-2941. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Goodrich, Alison Jane can be contacted via phone (386) 503-2006.

Contact Information

Primary practice address
708 S Cooper St New Smyrna Beach FL 32169-2941
Phone: (386) 503-2006
Fax: (386) 868-2477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 13063 Florida

Profile Details

NPI number 1659558039
LBN Legal business name Goodrich, Alison Jane
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2008
Last updated Aug 27th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659558039 NPPES
Florida MEDICAID 892785500

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