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Individual

HEATHER A GOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
119 UNION ST, NEWARK, OH 43055-3937
(740) 349-1629
Mailing address
145 N QUENTIN RD, NEWARK, OH 43055-4623
(740) 349-1001

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2608
WV
224Z00000X
Occupational Therapy Assistant
OTA008150
OH

Other

Enumeration date
12/07/2021
Last updated
10/28/2025
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