Individual
CHRIS GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2700 MEMORIAL PARK DR, BROWNWOOD, TX 76801-8481
(512) 799-6125
Mailing address
812 BROOK HOLLOW ST, BROWNWOOD, TX 76801-6306
(512) 799-6125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211447
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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