Individual
CARI ANN GOODYEAR RINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
11751 ALTA VISTA RD STE 201, FORT WORTH, TX 76244-6442
(817) 562-1006
(817) 562-1009
Mailing address
11751 ALTA VISTA RD STE 201, FORT WORTH, TX 76244-6442
(817) 562-1006
(817) 562-1009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111997
TX
225XP0200X
Pediatric Occupational Therapist
111997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111997
TEXAS OCCUPATIONAL THERAPY LICENSE
TX
05
—
3559510
—
TX
Enumeration date
08/19/2014
Last updated
04/29/2024
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