Individual
ANDY GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16993 ELM LN, MORRIS, OK 74445-2837
(918) 527-3394
Mailing address
16993 ELM LN, MORRIS, OK 74445-2837
(918) 527-3394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1078
OK
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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