Individual
JENNIFER GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 CARSON DR, SEMINOLE, OK 74868-2210
(405) 382-5085
Mailing address
600 W STROTHERS AVE, SEMINOLE, OK 74868-3802
(405) 382-5800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1327
OK
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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