Individual
JAMES GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1765 N BROADWAY AVE, BARTOW, FL 33830-3104
(863) 519-9837
(863) 519-9853
Mailing address
PO BOX 1838, LAKELAND, FL 33802-1838
(863) 687-0931
(863) 687-4021
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT2471
FL
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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