Individual
NICOLE CHRISTINE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(866) 433-9555
(314) 275-7444
Mailing address
10767 KAY BERRIE DR, SAINT LOUIS, MO 63123-5944
(812) 499-1762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013002585
MO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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