Individual
MEMORY KATE GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(762) 375-6682
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009582
GA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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