Individual
JACQUELINE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 BEACHVIEW AVE, APT 298, BRIDGEPORT, CT 06605-3234
(781) 799-4213
Mailing address
150 BEACHVIEW AVE, APT 298, BRIDGEPORT, CT 06605-3234
(781) 799-4213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4375
CT
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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