Individual
AMY GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.OTR/L
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-1473
Mailing address
1712 ROXBOROUGH RD UNIT E, CHARLOTTE, NC 28211-3452
(910) 622-4952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8175
NC
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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