Individual
DANIELLE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 E 12TH STREET STE 106, CASPER, WY 82601-4407
(307) 554-7861
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/26/2020
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