Individual
LORI GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
124 WATERTOWN ST, WATERTOWN, MA 02472-2576
(617) 923-4410
(617) 923-0468
Mailing address
106 TREMONT ST, BRIGHTON, MA 02135-2423
(401) 595-7858
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011937
MA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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