Individual
LISA SHAWN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
870 SUMMIT CROSSING PL, GASTONIA, NC 28054-2192
(704) 671-1860
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15570
NC
Other
Enumeration date
01/03/2008
Last updated
12/17/2024
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