Individual
CORI GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1216 PURTOV ST, KODIAK, AK 99615-6215
(907) 942-0887
Mailing address
1216 PURTOV ST, KODIAK, AK 99615-6215
(907) 942-0887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2407
AK
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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