| Ms Crystal Ann Goodrich, MS, OTRL | |
|
17 Highland Ave, South Portland, ME 04106-3726 | |
| (207) 671-6939 | |
| Not Available |
| Full Name | Ms Crystal Ann Goodrich |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 17 Highland Ave, South Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003028994 | NPI | - | NPPES |
| 11364530 | Other | ME | CAQH |
| 061453 | Other | ME | ANTEM ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1010 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Crystal Ann Goodrich, MS, OTRL 17 Highland Ave, South Portland, ME 04106-3726 Ph: (207) 671-6939 | Ms Crystal Ann Goodrich, MS, OTRL 17 Highland Ave, South Portland, ME 04106-3726 Ph: (207) 671-6939 |
Dustin Blackington, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 Western Avenue, South Portland, ME 04106 Phone: 207-775-3446 Fax: 207-879-1646 | |
Erin Masterson, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 483 Ocean St, South Portland, ME 04106 Phone: 207-233-0976 | |
Patrick Boscherini, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Minott St Apt A7, South Portland, ME 04106 Phone: 207-712-1481 | |
Mr. Neal Hannon Drew, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-871-0555 | |
Mr. Cory Breidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Margaret St Apt D, South Portland, ME 04106 Phone: 908-752-7712 | |
Kathryn Twombly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Winding Way, South Portland, ME 04106 Phone: 207-408-1110 |