Sheree Goodale, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Concord, VA
NPI 1811239809 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1811239809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131000424 (VA)
- Practice address
- 1475 Lyle Thomas Rd
Concord, VA 24538-3261 - Phone
- (434) 993-3963
- Fax
- (434) 993-3556
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0131000424 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000424 | VA | Yes |
Addresses
Primary practice location
1475 Lyle Thomas Rd
Concord, VA 24538-3261
Mailing address
PO Box 106
Concord, VA 24538-0106
Phone (434) 993-3963
Other providers in Concord, VA
- Dells Home Improvement
- William Erb
- Cynthia Exhem-Williams
- Georges Gay
- Goggins Property Maintenance Inc
- House Calls Plus Inc
- Keshia Jackson
- Linda Nicole Therapy PLLC
- Professional Home Care
- Professional Home Care
All providers in Concord, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. 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.