Individual
KRISTIN GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
4700 ELDON CT, VIRGINIA BEACH, VA 23462-7226
(757) 491-4195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004343
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4980701
—
VA
Enumeration date
07/27/2006
Last updated
07/08/2007
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