Individual
COLLEEN A. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3441 STEMBLER RDG, DOUGLASVILLE, GA 30135-7609
(770) 920-0574
(770) 920-0574
Mailing address
3441 STEMBLER RDG, DOUGLASVILLE, GA 30135-7609
(770) 920-0574
(770) 920-0574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001102
GA
Other
Enumeration date
04/12/2006
Last updated
04/08/2010
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