Individual
LAURA LYNN GOOLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L LANA
Contact information
Practice address
364 SE WILSON AVE, BEND, OR 97702-1711
(541) 388-2681
(541) 388-9236
Mailing address
61275 VICTORY LOOP, BEND, OR 97702-2820
(541) 389-7403
(541) 388-9236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00368811
OR
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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