Individual
KERRI GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
313 SOUTH AVE, FANWOOD PLAZA, FANWOOD, NJ 07023-1364
(908) 301-2600
Mailing address
313 SOUTH AVE, FANWOOD PLAZA, FANWOOD, NJ 07023-1364
(908) 301-2600
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00445400
NJ
Other
Enumeration date
02/22/2007
Last updated
09/24/2007
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