Active NPIIndividual provider

Jessica G Goudreault, MS, OTR/L

Occupational Therapist in North Andover, Massachusetts

NPI Number1124251608
Practice location
140 Prescott St, North Andover, MA 01845-1826
Fax
978-687-2665
Last updated
August 31, 2009

Jessica Glavin Goudreault is an Occupational Therapist based in North Andover, MA. Jessica Glavin Goudreault practices in North Andover, MA and has the professional credentials of MS, OTR/L. The NPI Number for Jessica Glavin Goudreault is 1124251608 and holds a License No. 9557 (MA). The current practice location address for Jessica Glavin Goudreault is 140 Prescott St, North Andover, MA 01845-1826 and can be reached out via phone at 978-685-8086 and via fax at 978-687-2665.

Provider Profile Details

NPI Number
1124251608
Provider Name
Jessica Glavin Goudreault
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
140 Prescott St, North Andover, MA 01845-1826
Phone Number
978-685-8086
Fax Number
978-687-2665
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2009
Last Update Date
August 31, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Prescott St
North Andover, MA 01845-1826
Zip
01845-1826
Phone Number
978-685-8086
Fax Number
978-687-2665
North Andover, MA 01845Get directions →

Provider Business Mailing Address Details

Address
140 Prescott St
North Andover, MA 01845-1826
City
North Andover
State
MA
Zip
01845-1826

License Information

License Number
9557
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · 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 Jessica G Goudreault, MS, OTR/L?

The NPI number of Jessica G Goudreault, MS, OTR/L is 1124251608. It was assigned on August 31, 2009 and is currently active in the NPPES registry.

What is the specialty of Jessica G Goudreault, MS, OTR/L?

Jessica G Goudreault, MS, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 9557.

Where does Jessica G Goudreault, MS, OTR/L practice?

The practice location is 140 Prescott St, North Andover, MA 01845-1826. The office can be reached at 978-685-8086 (phone) or 978-687-2665 (fax).

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 1124251608 directly on the NPPES registry website.

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