Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAILEY GOFORTH, OTR/L
DeactivatedHAILEY GOFORTH, OTR/L is a Pediatric Occupational Therapist healthcare provider located in LYNWOOD, California. NPI 1770220246 is deactivated in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · LYNWOOD, CA
This NPI has been deactivated.
The record was deactivated on May 17, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1770220246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2022
- Last Updated
- Oct 18, 2023
- Deactivated
- May 17, 2022
- License
-
22985 (CA)
Practice Information
- Address
-
3680 E IMPERIAL HWY STE 504LYNWOOD, CA, 902622659Browse CA providers · Browse ZIP 90262
- Phone
- 3108077545
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in LYNWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| CINDY BEAS | OTR/L | 1992356208 |
| MR. FERNANDO AVILA | — | 1497495725 |
| FAN-HSUAN CHOU | — | 1932929361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.