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Individual

DOREEN GOODGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10158 STONEHENGE CIR APT 802, BOYNTON BEACH, FL 33437-3546
(954) 816-2974
Mailing address
10158 STONEHENGE CIR APT 802, BOYNTON BEACH, FL 33437-3546
(954) 816-2974

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11276
FL

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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