Individual
BASHA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NALLEY TER, LANDOVER, MD 20785-4434
(301) 618-8300
Mailing address
PO BOX 15013, SILVER SPRING, MD 20914-5013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08721
MD
Other
Enumeration date
09/26/2019
Last updated
06/11/2020
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