Active NPIIndividual providerSole proprietor

Kerri Goodall, OTR

Occupational Therapist, Pediatrics in Fanwood, New Jersey

NPI Number1184759151
Practice location
313 South Ave, Fanwood Plaza, Fanwood, NJ 07023-1364
Fax
—
Last updated
September 24, 2007

Kerri Goodall is an Occupational Therapist, Pediatrics based in Fanwood, NJ. Kerri Goodall practices in Fanwood, NJ and has the professional credentials of OTR. The NPI Number for Kerri Goodall is 1184759151 and holds a License No. 46TR00445400 (NJ). The current practice location address for Kerri Goodall is 313 South Ave, Fanwood Plaza, Fanwood, NJ 07023-1364 and can be reached out via phone at 908-301-2600.

Provider Profile Details

NPI Number
1184759151
Provider Name
Kerri Goodall
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
313 South Ave, Fanwood Plaza, Fanwood, NJ 07023-1364
Phone Number
908-301-2600
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2007
Last Update Date
September 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
313 South Ave
Fanwood Plaza
Fanwood, NJ 07023-1364
Zip
07023-1364
Phone Number
908-301-2600
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
313 South Ave
Fanwood Plaza
Fanwood, NJ 07023-1364
City
Fanwood
State
NJ
Zip
07023-1364
Phone Number
908-301-2600

License Information

License Number
46TR00445400
License State
NJ
Taxonomy
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 Kerri Goodall, OTR?

The NPI number of Kerri Goodall, OTR is 1184759151. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Kerri Goodall, OTR?

Kerri Goodall, OTR is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number 46TR00445400.

Where does Kerri Goodall, OTR practice?

The practice location is 313 South Ave, Fanwood Plaza, Fanwood, NJ 07023-1364. The office can be reached at 908-301-2600 (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 1184759151 directly on the NPPES registry website.

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