Individual
BROOKE ANN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1507 OLDE HICKORY RD, CORALVILLE, IA 52241-1118
(641) 418-0199
Mailing address
4822 NE SHERMAN LN, ANKENY, IA 50021-1849
(641) 418-0199
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
074827
IA
Other
Enumeration date
09/15/2014
Last updated
03/06/2015
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