National Provider Identifier
Kandi Rae Goodreau, COTA/L
Kandi Rae Goodreau, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Wellsville, NY and a listed phone number of (585) 596-4011.
Profile Overview
- NPI
- 1639895089
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 18, 2022
- Last Updated
- October 18, 2022
Practice Location
- 191 N Main St
- Wellsville, NY 14895-1150
Phone: (585) 596-4011
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1639895089
- Entity Type
- Individual
- Last Name
- Goodreau
- First Name
- Kandi
- Middle Name
- Rae
- Credential
- COTA/L
- Mailing Street Address
- 191 N Main St
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-1150
- Mailing Country
- US
- Mailing Phone
- (585) 596-4011
- Practice Street Address
- 191 N Main St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1150
- Practice Country
- US
- Practice Phone
- (585) 596-4011
- Enumeration Date
- October 18, 2022
- Last Updated
- October 18, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)