Organization
ALLCARE ANYWHERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HUGHES GOODMAN OTR/L (OCCUPATIONAL THERAPIST)
(800) 584-0958
Entity
Organization
Contact information
Practice address
31248 OAK CREST DR, SUITE 120, WESTLAKE VILLAGE, CA 91361
(800) 584-0958
Mailing address
2973 HARBOR BLVD # 821, COSTA MESA, CA 92626-3912
(800) 584-0958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D3082752
PRIVATE PAY
CA
05
—
D3082752
—
CA
Enumeration date
10/05/2021
Last updated
07/13/2023
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