Laura Goodan-Graham, OT
Individual provider Active NPI Occupational Therapist · Prospect, KY
NPI 1346409505 · NPPES record last updated Jun 3, 2008
Key facts
- NPI
- 1346409505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- KY-R2787 (KY)
- Practice address
- 6301 Bass Rd
Prospect, KY 40059-9384 - Phone
- (502) 228-9440
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R2787 | KY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY-R2787 | KY | Yes |
Addresses
Primary practice location
6301 Bass Rd
Prospect, KY 40059-9384
Mailing address
7620 Woodridge Dr
Pewee Valley, KY 40056-9027
Phone (502) 241-0708
Other providers in Prospect, KY
- Kelly Ann Gilmore
- Joyce P Glackin-Mann
- Sher Laree Glaser
- Matthew Gregory Gleis
- Amy Marie Goldsmith
- Greater Louisville Internal Medicine PSC
- Whitney L Greene
- Christina Pecha Greenhalgh
- Bharti Gupta
- Dzanan Gusic
All providers in Prospect, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.