Miss Leslie Kendle Goodrum, is a
Occupational Therapist based in Tonopah, Arizona. Miss Leslie Kendle Goodrum is licensed to practice in Arizona (license number 0753) and her current practice location is
38201 W Indian School Rd, Tonopah, Arizona. She can be reached at her office (for appointments etc.) via phone at
(623) 386-5688.
NPI number for Miss Leslie Kendle Goodrum is 1982748570 and her current mailing address is 11601 S Maze Ct, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982748570.
Healthcare Provider's Profile
Full Name | Miss Leslie Kendle Goodrum |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 38201 W Indian School Rd, Tonopah, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982748570
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Miss Leslie Kendle Goodrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982748570 | NPI | - | NPPES |
225XP0200X | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0753 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Leslie Kendle Goodrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Leslie Kendle Goodrum, 11601 S Maze Ct, Phoenix, AZ 85044-2319 Ph: (480) 753-6360 | Miss Leslie Kendle Goodrum, 38201 W Indian School Rd, Tonopah, AZ 85354-7301 Ph: (623) 386-5688 |
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