Individual
BRIDGET D GOFFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOUNTAIN RD, RAVENA, NY 12143-1235
(518) 756-5200
Mailing address
1 RAPP RD, ALBANY, NY 12203-4491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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