Individual
MRS. MADILYNN MICHELE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3313 MEMORIAL PKWY SW, SUITE 122, HUNTSVILLE, AL 35801-5375
(256) 883-7338
Mailing address
3313 MEMORIAL PKWY SW, SUITE 122, HUNTSVILLE, AL 35801-5375
(256) 883-7338
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533481
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/13/2007
Last updated
07/08/2007
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