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Individual

ANGELICA ARACELI GOODRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1101 W CLAY RD # 1177, VERSAILLES, MO 65084-1177
(573) 378-5411
Mailing address
44 HIGHWAY Z, ELDON, MO 65026-4817
(785) 893-3305

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020010011
MO

Other

Enumeration date
05/20/2020
Last updated
06/05/2025
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