Individual
MRS. AMANDA MARIE GOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 WEALTHY STREET SE, GRAND RAPIDS, MI 49503
(616) 840-8000
Mailing address
1327 PENNOYER AVE, GRAND HAVEN, MI 49417
(616) 502-3248
(616) 502-3248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009094
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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