Christina Noelle Goughenour
Occupational Therapist Occupational Therapist - Gerontology
2100 S Finley Rd
Lombard
, Illinois 60148-4830
Christina Noelle Goughenour
Occupational Therapist Occupational Therapist - Gerontology
2100 S Finley Rd
Lombard
, Illinois 60148-4830
(630) 286-8934
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Christina Noelle Goughenour
- 1420 Kensington Rd Ste 105
- Oak Brook, IL
- Zip : 60523-2144
- Phone : (630) 286-8934
Second Address
- Christina Noelle Goughenour
- 2100 S Finley Rd
- Lombard, IL
- Zip : 60148-4830
- Phone : (630) 495-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.005763 | IL |
| N | 225XG0600X | Occupational Therapist - Gerontology | 056.005763 | IL |
National Provider Identifier
| NPI | 1093003618 |
|---|---|
| Provider Name | Christina Noelle Goughenour |
| First Address | Oak Brook, IL 60523-2144 |
| Second Address | Lombard, IL 60148-4830 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2011 |
| Last Update Date | 17/07/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.