Individual
SHAMIAH GOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 CROSSGATES BLVD, BRANDON, MS 39042-2602
(601) 825-3192
Mailing address
1291B WILL WRIGHT RD, MERIDIAN, MS 39301-8987
(601) 701-5372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3932
MS
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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