Individual
CORNISHA GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 689-3146
Mailing address
6760 CHAFFIN ST, MILTON, FL 32570-3997
(850) 273-3578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
14861
FL
224Z00000X
Occupational Therapy Assistant
Primary
5610
CA
Other
Enumeration date
03/29/2021
Last updated
06/25/2025
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