Individual
ALEXANDER GRAY GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
1170 CHULIO RD SE, ROME, GA 30161-4084
(706) 235-1132
Mailing address
12 BLACKSMITH LN NW, CARTERSVILLE, GA 30120-4386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008893
GA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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