Individual
CAITLIN K GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400A E 20TH ST, FARMINGTON, NM 87401-9024
(505) 599-8617
Mailing address
616 MESA VISTA DR, FARMINGTON, NM 87401-2843
(636) 288-3048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3576
NM
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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