Goodrich, Kalyra Ananda S

Goodrich, Kalyra Ananda S is an individual health care provider with primary practice located at 3480 Ravencreek Ln , Oviedo FL 32766-7043. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Goodrich, Kalyra Ananda S can be contacted via phone (407) 810-2225.

Contact Information

Primary practice address
3480 Ravencreek Ln Oviedo FL 32766-7043
Phone: (407) 810-2225
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT11677 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT.0004466 Colorado

Profile Details

NPI number 1447317508
LBN Legal business name Goodrich, Kalyra Ananda S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Feb 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447317508 NPPES
Florida MEDICAID 890148100
Florida MEDICAID 812089700

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