Individual
KIM GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
25 DALLAS HILL RD, RANGELEY, ME 04970
(207) 749-2234
Mailing address
PO BOX 456, RANGELEY, ME 04970-0456
(207) 749-2234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1636
ME
Other
Enumeration date
02/12/2008
Last updated
07/18/2014
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