Individual
ERIN OLIVIA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
960 COMMONWEALTH BLVD, TUPELO, MS 38804-9762
(662) 260-3789
Mailing address
503 CONSTITUTION DR, IUKA, MS 38852-8605
(662) 424-9500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3790
MS
Other
Enumeration date
07/08/2020
Last updated
07/15/2022
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