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Individual

FELICIA MICHELLE GOLDSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, MBA, COTA

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2010026227
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0606278547
CASE MANAGER
MO
01
2010026227
STATE OF MISSOURI, MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
02/15/2012
Last updated
02/01/2021
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