| Doctor Name: | CHERYL A GOODREAU |
| NPI Number: | 1750618716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR-L |
| License Number: | 5201001320 |
| Business Practice Address: | 23800 Orchard Lake Rd Ste 101 Farmington Hills, MI - 483362560 |
| Business Phone Number: | 2484745516 |
| Business Fax Number: | 2484745519 |
| Mailing Address: | 625 Enterprise Dr, OAK BROOK |
| State: | IL |
| Postal Code: | 605238813 |
| Phone Number: | 6305751932 |
| Fax Number: | 6309285032 |
| NPI Enumeration Date: | 11/12/2009 |
| NPI Last Update Date: | 11/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 5201001320 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |