Organization
BEACHSIDE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISON JANE GOODRICH MS OTR/L (OCCUPATIONAL THERAPIST)
(386) 503-2006
Entity
Organization
Contact information
Practice address
708 S COOPER ST, NEW SMYRNA BEACH, FL 32169-2941
(386) 503-2006
(386) 868-2477
Mailing address
708 S COOPER ST, NEW SMYRNA BEACH, FL 32169-2941
(386) 503-2006
(386) 868-2477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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