Individual
TIFFANY VO GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 W MARKHAM ST, LITTLE ROCK, AR 72201-1306
(501) 447-1043
Mailing address
810 W MARKHAM ST, LITTLE ROCK, AR 72201-1306
(501) 447-1043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2556
AR
Other
Enumeration date
09/25/2012
Last updated
06/14/2023
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