Individual
KELLY MARIE GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 WAKE ROBIN DR, SHELBURNE, VT 05482-7569
(802) 264-5140
(802) 264-5152
Mailing address
200 WAKE ROBIN DR, SHELBURNE, VT 05482-7569
(802) 264-5140
(802) 264-5152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000535
VT
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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