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Individual

JANELLE RAE GOODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(580) 351-6511
Mailing address
278 ROCK RIDGE RD, ELGIN, OK 73538-2328
(785) 210-7656

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
999
OK
225X00000X
Occupational Therapist
Primary
5873
OK

Other

Enumeration date
01/17/2021
Last updated
03/03/2026
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