Individual
MS. AMBER LYNNE GOODEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4501 N BLAGG RD, PAHRUMP, NV 89060-1946
(775) 751-6600
Mailing address
631 FRANCONIAN DR E, FRANKENMUTH, MI 48734-1005
(989) 316-5948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2019
NV
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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