Individual
MISS NAKIA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-2512
Mailing address
2203 PIEDMONT AVE, PORTSMOUTH, VA 23704-5407
(757) 739-6276
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001877
VA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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