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Individual
MELANIE CAROLE GOODRICH
Active
Individual
MELANIE CAROLE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109965
TX
225XP0200X
Pediatric Occupational Therapist
109965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417063496
—
TX
05
—
155845403
—
TX
01
—
832T36
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/22/2006
Last updated
01/30/2026
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