Individual
MRS. MICHELLE ANN GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2601 DEMERE RD, ST SIMONS ISLAND, GA 31522-1614
(912) 634-9945
(912) 638-1584
Mailing address
409 WHITEFIELD AVE., ST. SIMONS ISLAND, GA 31522
(912) 222-7413
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
002198
GA
225XH1200X
Hand Occupational Therapist
Primary
OT002198
GA
225XP0200X
Pediatric Occupational Therapist
OT002198
GA
Other
Enumeration date
12/26/2006
Last updated
01/09/2012
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