National Provider Identifier
Jennifer Goodman, BS, MS, OTR/L
Jennifer Goodman, BS, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 257-2530.
Profile Overview
- NPI
- 1508187212
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- June 16, 2010
- Last Updated
- June 16, 2010
Practice Location
- 555 Warren RD
- Tst Boces
- Ithaca, NY 14850-1862
Phone: (607) 257-2530
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1508187212
- Entity Type
- Individual
- Last Name
- Goodman
- First Name
- Jennifer
- Name Prefix
- Mrs.
- Credential
- BS, MS, OTR/L
- Mailing Street Address
- 555 Warren RD
- Mailing Address Line 2
- Tst Boces
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1862
- Mailing Country
- US
- Mailing Phone
- (607) 257-2530
- Practice Street Address
- 555 Warren RD
- Practice Address Line 2
- Tst Boces
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1862
- Practice Country
- US
- Practice Phone
- (607) 257-2530
- Enumeration Date
- June 16, 2010
- Last Updated
- June 16, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)