Active NPIIndividual providerSole proprietor

Ms. Crystal A Goodrich, OT

Occupational Therapist, Pediatrics in Springvale, Maine

NPI Number1003028994
Practice location
469 Main Street, Suite 102, Springvale, ME 04083
Fax
—
Last updated
May 28, 2024

Crystal Ann Goodrich is an Occupational Therapist, Pediatrics based in Springvale, ME. Crystal Ann Goodrich practices in Springvale, ME and has the professional credentials of OT. The NPI Number for Crystal Ann Goodrich is 1003028994 and holds a License No. OT1010 (ME). The current practice location address for Crystal Ann Goodrich is 469 Main Street, Suite 102, Springvale, ME 04083 and can be reached out via phone at 207-324-2888.

Provider Profile Details

NPI Number
1003028994
Provider Name
Crystal Ann Goodrich
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
469 Main Street, Suite 102, Springvale, ME 04083
Phone Number
207-324-2888
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
May 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
469 Main Street
Suite 102
Springvale, ME 04083
State
Maine
Zip
04083
Phone Number
207-324-2888
Springvale, ME 04083Get directions →

Provider Business Mailing Address Details

Address
3 School Street
Unit 204
Berwick, ME 03901
City
Berwick
State
ME
Zip
03901
Phone Number
207-616-8241

License Information

License Number (1)
OT1010
License State (1)
ME
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
1010
License State (2)
ME
Taxonomy (2)
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Crystal A Goodrich, OT?

The NPI number of Ms. Crystal A Goodrich, OT is 1003028994. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Crystal A Goodrich, OT?

Ms. Crystal A Goodrich, OT is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in ME under license number OT1010.

Where does Ms. Crystal A Goodrich, OT practice?

The practice location is 469 Main Street, Suite 102, Springvale, ME 04083. The office can be reached at 207-324-2888 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003028994 directly on the NPPES registry website.

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