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Individual

MR. DAVID MICHAEL GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1010 N DUDNEY RD, SUITE D, MAGNOLIA, AR 71753-2624
(870) 234-2255
Mailing address
29 AZALEA, MAGNOLIA, AR 71753-2275
(870) 814-0835

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1441
AR

Other

Enumeration date
03/13/2007
Last updated
10/04/2019
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