Individual
KATHERINE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1773 GORE CREEK CT, WINDSOR, CO 80550-3604
(951) 275-4314
Mailing address
1773 GORE CREEK CT, WINDSOR, CO 80550-3604
(951) 275-4314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0001270
CO
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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