Provider Demographics
NPI:1407391048
Name:MCGOFF, CARLI
Entity Type:Individual
Prefix:MRS
First Name:CARLI
Middle Name:
Last Name:MCGOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11619 HIGHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2468
Mailing Address - Country:US
Mailing Address - Phone:301-467-8552
Mailing Address - Fax:
Practice Address - Street 1:11619 HIGHVIEW AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2468
Practice Address - Country:US
Practice Address - Phone:301-467-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology