Provider Demographics
NPI:1669680906
Name:GOODHOPE, VICTORIA (OTR)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:GOODHOPE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10504 SW 216TH ST
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-6534
Mailing Address - Country:US
Mailing Address - Phone:206-290-5544
Mailing Address - Fax:
Practice Address - Street 1:10504 SW 216TH ST
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-6534
Practice Address - Country:US
Practice Address - Phone:206-290-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001748225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist