Jamie Alane Goulet, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Fort Eisenhower, GA
NPI 1972818409 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1972818409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT003659 (GA)
- Practice address
- 300 W Hospital Rd
Fort Eisenhower, GA 30905-5741 - Phone
- (706) 787-0463
- NPI assigned
- Aug 9, 2010
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT003659 | GA | MD | Occupational Therapist |
| OC010849 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC010849 | PA | |
| Occupational Therapist | 225X00000X | OT003659 | GA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Fort Eisenhower, GA 30905-5741
Mailing address
300 W Hospital Rd
Fort Eisenhower, GA 30905-5741
Phone (706) 787-0463
Other providers in Fort Eisenhower, GA
- Victoria Anne Franz
- Thomas Franklin Freeman
- Meredith Valentine Frost
- Morgan Gentry
- Robert Lillie Gibson III
- Nidhi K. Gulati
- Ashlee Gunby
- Andrea Michelle Hall
- Monica Ann Hancock
- Donie Harris-Deaton
All providers in Fort Eisenhower, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. 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.