Provider Demographics
NPI:1912427865
Name:GOOCH, KARLIN ARIELLE (OTR)
Entity Type:Individual
Prefix:
First Name:KARLIN
Middle Name:ARIELLE
Last Name:GOOCH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KARLIN
Other - Middle Name:ARIELLE
Other - Last Name:LEVINE-SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1117 REMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3735
Mailing Address - Country:US
Mailing Address - Phone:480-621-0522
Mailing Address - Fax:
Practice Address - Street 1:3780 N GARFIELD AVE STE 102
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2237
Practice Address - Country:US
Practice Address - Phone:480-621-0522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist