Individual
JADA GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 WINDRIDGE CT APT A, PORT ORANGE, FL 32127-4797
(607) 793-3397
Mailing address
945 WINDRIDGE CT APT A, PORT ORANGE, FL 32127-4797
(607) 793-3397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19902
FL
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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