Individual
MRS. DEBBIE ANN ENDRES GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
142 BEAUTEAU ST, LAKE ZURICH, IL 60047-1312
(847) 438-2933
Mailing address
142 BEAUTEAU ST, LAKE ZURICH, IL 60047-1312
(847) 438-2933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003095
IL
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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