Individual
MS. LESLIE JONES GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
926 FIFTH AVENUE, POCAHONTAS COUNTY SCHOOLS, MARLINTON, WV 24954
(304) 799-4505
(304) 799-4499
Mailing address
936 COLLINS RUN LANE, MONTEREY, VA 24465
(540) 468-2704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
375
WV
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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