Individual
MS. CRYSTAL ANN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
469 MAIN STREET, SUITE 102, SPRINGVALE, ME 04083
(207) 324-2888
Mailing address
3 SCHOOL STREET, UNIT 204, BERWICK, ME 03901
(207) 616-8241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1010
ME
225XP0200X
Pediatric Occupational Therapist
Primary
1010
ME
Other
Enumeration date
05/04/2007
Last updated
05/28/2024
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