Tonya Marie Goucher, AS, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Canaan, ME
NPI 1932431574 · NPPES record last updated Feb 8, 2010
Key facts
- NPI
- 1932431574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OA1903 (ME)
- Practice address
- 17 Crooked Creek Dr
Canaan, ME 04924-3354 - Phone
- (207) 399-8200
- NPI assigned
- Feb 8, 2010
- 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
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA1903 | ME | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OA1903 | ME | Yes |
Addresses
Primary practice location
17 Crooked Creek Dr
Canaan, ME 04924-3354
Mailing address
PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 474-7000
Other providers in Canaan, ME
- Penny Deraps
- Down to Earth Therapy
- Thomas Earley
- Jennifer L Giguere
- Melisa Ann Gilcott
- Ann Mary Lawler
- Felicia McArthur
- Sebasticook Family Doctors
- Isabelle Vachon
All providers in Canaan, ME · Occupational Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2010. 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.