Doctor Name: | MS. JUDY GOUCHER |
NPI Number: | 1013037043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL, CHT |
License Number: | 868 |
Business Practice Address: | 1650 Central Ave Mckinleyville, CA - 955194389 |
Business Phone Number: | 7076165777 |
Business Fax Number: | 7078395905 |
Mailing Address: | Po Box 863, TRINIDAD |
State: | CA |
Postal Code: | 955700863 |
Phone Number: | 7076770797 |
Fax Number: | 7074420813 |
NPI Enumeration Date: | 03/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |